Provider Demographics
NPI:1336134832
Name:MMS COLUMBUS, INC
Entity Type:Organization
Organization Name:MMS COLUMBUS, INC
Other - Org Name:MAJORS MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COMPLIANCE OFFICER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:R
Authorized Official - Last Name:COLTON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:740-654-6746
Mailing Address - Street 1:1629 HUBBARD DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-8051
Mailing Address - Country:US
Mailing Address - Phone:740-654-6746
Mailing Address - Fax:740-654-7083
Practice Address - Street 1:1629 HUBBARD DR
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-8051
Practice Address - Country:US
Practice Address - Phone:740-654-6746
Practice Address - Fax:740-654-7083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0227222000Medicaid
KY90272378Medicaid
OH0209394Medicaid
OH000000155187OtherANTHEM INS. PROVIDER NUMB
WV0227222000Medicaid