Provider Demographics
NPI:1336750090
Name:COLUMBUS COMMUNITY HEALTH SERVICES
Entity Type:Organization
Organization Name:COLUMBUS COMMUNITY HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERIA
Authorized Official - Middle Name:JANEE
Authorized Official - Last Name:OLIVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-633-3697
Mailing Address - Street 1:3269 STIRLING BRG
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-8291
Mailing Address - Country:US
Mailing Address - Phone:216-633-3697
Mailing Address - Fax:
Practice Address - Street 1:3269 STIRLING BRG
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-8291
Practice Address - Country:US
Practice Address - Phone:216-633-3697
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-14
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health