COLUMBIA ANCILLARY SERVICES INC (NPI# 1568676930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568676930 |
| Entity Type | Organization |
| Organization Name | COLUMBIA ANCILLARY SERVICES INC |
| Practice Address |
563 Carey Ave Columbia Ancillary Services Inc Wilkes Barre PA 18703 |
| Mailing Address |
1388 State Rt 487 Bloomsburg PA 17815 |
| Practice Telephone | 5702083803 |
| Practice Fax Number | 5708207182 |
| Mailing Telephone | 5707841410 |
| Mailing Fax Number | 8003268307 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BRIAN D KLINGERMAN (PRESIDENT) |
| Authorized Official Telephone | 5707841410 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 332B00000X | Durable Medical Equipment & Medical Supplies | PA | Suppliers | |
| X | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
PA | Suppliers | |
| X | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007522780007 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619033560 | Columbia Ancillary Services Inc | Durable Medical Equipment & Medical Supplies | Rr #1 Box 414, Columbia Ancillary Services Inc, Mount Clare, WV 26408 | 2006-12-28 |
| 1104914811 | Columbia Ancillary Services Inc | Durable Medical Equipment & Medical Supplies | 1141 Ridge Road, Bloomsburg, PA 17815 | 2006-10-10 |
| Street Address |
563 CAREY AVE COLUMBIA ANCILLARY SERVICES INC |
| City | WILKES BARRE |
| State | PA |
| Zip Code | 18703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295701332 | Frank Bernard Kislan | Nurse Practitioner | 575 North River Street, Wilkes-barre, PA 18703 | 2006-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948212 | Anthony Christensen Guariglia Jr. | Physician Assistant | 1155 Highway 315 Blvd, Wilkes Barre, PA 18702-6928 | 2020-09-24 |
| 1023624202 | Allied Health Care Services | Community/Behavioral Health | 1124 Scott St, Wilkes Barre, PA 18705-3737 | 2020-09-22 |
| 1225649759 | Samantha Price | Counselor | 65 N Washington St Ste 1, Wilkes Barre, PA 18701-3119 | 2020-08-10 |
| 1053940353 | Charlene M Connor | Hearing Instrument Specialist | 695 Kidder St, Wilkes Barre, PA 18702-6938 | 2020-04-07 |
| 1255969945 | Kaleen Woodburymonda | Specialist/Technologist | 427 E Mountain Ridge Mhp, Wilkes Barre, PA 18702-8000 | 2020-03-30 |
| 1538710256 | Amor Homecare Inc | Day Training, Developmentally Disabled Services | 662 N Washington St, Wilkes Barre, PA 18705-1708 | 2019-09-24 |
| 1952952046 | Traditional Home Care LLC | In Home Supportive Care | 1151 Rte 315, Suite A, Wilkes Barre, PA 18702-6988 | 2019-09-20 |
| 1912555806 | Kate E Cunningham | Specialist/Technologist | 133 N River St # 7149, Wilkes Barre, PA 18711-0800 | 2019-09-03 |
| 1619523917 | The Fitness Depot, Inc | Durable Medical Equipment & Medical Supplies | 548 E Northampton St, Wilkes Barre, PA 18702-6112 | 2019-08-13 |
| 1164088456 | Allied Services Personal Care Center | Assisted Living Facility | 260 S Meade St, Wilkes Barre, PA 18702-6221 | 2019-05-13 |
| Find all providers in WILKES BARRE | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548626922 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 335 S Franklin St Ste 130, Wilkes Barre, PA 18702-3808 | 2016-01-14 |
| 1205197894 | Geisinger Wyoming Valley Medical Center | Durable Medical Equipment & Medical Supplies | 1175 East Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2012-05-31 |
| 1508160938 | Blackstone Healthcare LLC | Durable Medical Equipment & Medical Supplies | 49 Dana St, Wilkes Barre, PA 18702-4301 | 2010-12-28 |
| 1952639056 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 400 Wlkes Bar Twp Blvd, Wilkes Barre, PA 18702-6604 | 2009-12-01 |
| 1508050600 | Balester Optical Company | Durable Medical Equipment & Medical Supplies | 388 N River St, Wilkes Barre, PA 18702-2504 | 2007-08-31 |
| 1912022633 | A1 Mobility Products | Durable Medical Equipment & Medical Supplies | 180 Wilkes Plaza, Wilkes Barre, PA 18702 | 2007-03-20 |
| 1568524585 | Hill-rom Company, Inc | Durable Medical Equipment & Medical Supplies | 230 Johnson St, Wilkes Barre, PA 18702-7435 | 2006-12-15 |
| 1730247669 | Independent Mobility | Durable Medical Equipment & Medical Supplies | 147 1/2 Amber Ln, Wilkes Barre, PA 18702-6545 | 2006-12-04 |
| 1295809168 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 176 Wilkes Barre Township Blvd, Wilkes Barre, PA 18702-6704 | 2006-11-20 |
| 1245320365 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 155 East Northampton Street, Wilkes Barre, PA 18701-3401 | 2006-10-13 |
| Find all providers in WILKES BARRE | ||||
| City | WILKES BARRE |
| Zip Code | 18703 |
Please comment or provide details below to improve the information on COLUMBIA ANCILLARY SERVICES INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.