Provider Demographics
NPI:1659805141
Name:COLUMBUS MEDICAL SERVICES, LLC
Entity Type:Organization
Organization Name:COLUMBUS MEDICAL SERVICES, LLC
Other - Org Name:THE COLUMBUS ORGANIZATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:KLIMASKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-229-5116
Mailing Address - Street 1:350 SENTRY PARKWAY
Mailing Address - Street 2:BUILDING 620, SUITE 120
Mailing Address - City:BLUE BELL
Mailing Address - State:PA
Mailing Address - Zip Code:19422-2314
Mailing Address - Country:US
Mailing Address - Phone:800-229-5116
Mailing Address - Fax:
Practice Address - Street 1:200 CONTINENTAL DR STE 401
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-4337
Practice Address - Country:US
Practice Address - Phone:800-229-5116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COLUMBUS ORGANIZATION HOLDINGS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-04-12
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201087800Medicaid
TN1512668Medicaid
IN201212480Medicaid
GA000979052Medicaid