Provider Demographics
NPI:1205003787
Name:COLUMBIA FURNITURE
Entity Type:Organization
Organization Name:COLUMBIA FURNITURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRES.
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:PAPCIAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-276-8100
Mailing Address - Street 1:2125 W CHICAGO AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60622-4821
Mailing Address - Country:US
Mailing Address - Phone:773-276-8100
Mailing Address - Fax:773-276-9261
Practice Address - Street 1:2125 W CHICAGO AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-4821
Practice Address - Country:US
Practice Address - Phone:773-276-8100
Practice Address - Fax:773-276-9261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-13
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies