Provider Demographics
NPI:1851811046
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:COO
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 1:500 E SWEDESFORD RD STE 100
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-1614
Mailing Address - Country:US
Mailing Address - Phone:800-229-5116
Mailing Address - Fax:
Practice Address - Street 1:2333 ALEXANDRIA DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-3215
Practice Address - Country:US
Practice Address - Phone:800-229-5116
Practice Address - Fax:888-379-2524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-20
Last Update Date:2017-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000979052JMedicaid
GA000979052EMedicaid
TN1512668Medicaid
IN201212480AMedicaid
GA000979052DMedicaid
GA000979052HMedicaid
GA000979052IMedicaid
IN201087800AMedicaid
VA0232905965Medicaid
GA000979052KMedicaid
GA000979052FMedicaid
GA000979052GMedicaid