Provider Demographics
NPI:1750622601
Name:KLING HEALTH SERVICES, LP
Entity type:Organization
Organization Name:KLING HEALTH SERVICES, LP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:W
Authorized Official - Last Name:KLINGERMAN
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:570-784-0111
Mailing Address - Street 1:1388 STATE ROUTE 487
Mailing Address - Street 2:
Mailing Address - City:BLOOMSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17815-8953
Mailing Address - Country:US
Mailing Address - Phone:570-784-0111
Mailing Address - Fax:570-784-4785
Practice Address - Street 1:350 N 11TH ST
Practice Address - Street 2:
Practice Address - City:SUNBURY
Practice Address - State:PA
Practice Address - Zip Code:17801-1611
Practice Address - Country:US
Practice Address - Phone:570-286-3452
Practice Address - Fax:570-863-3071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-01
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA395317Medicare Oscar/Certification