Provider Demographics
NPI:1851811269
Name:COLUMBIA QUICK RESPONSE SERVICE INC
Entity Type:Organization
Organization Name:COLUMBIA QUICK RESPONSE SERVICE INC
Other - Org Name:COLUMBIA EMERGENCY MEDICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE CHAIRMAN
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:717-684-3500
Mailing Address - Street 1:PO BOX 30
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:PA
Mailing Address - Zip Code:17512-0030
Mailing Address - Country:US
Mailing Address - Phone:717-684-3500
Mailing Address - Fax:717-426-1238
Practice Address - Street 1:336 N 7TH ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:PA
Practice Address - Zip Code:17512-2137
Practice Address - Country:US
Practice Address - Phone:717-684-3500
Practice Address - Fax:717-426-1238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-27
Last Update Date:2017-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport