Organization
COLUMBUS CLINICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRAVIS YOUNG (CHIEF EXECUTIVE OFFICER)
(614) 626-0364
Entity
Organization
Contact information
Practice address
620 TAYLOR STATION RD STE J, GAHANNA, OH 43230-6699
(614) 626-0364
(614) 626-0327
Mailing address
620 TAYLOR STATION RD STE J, GAHANNA, OH 43230-6699
(614) 626-0364
(614) 626-0327
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
25903090
OH
Other
Enumeration date
04/21/2011
Last updated
04/21/2011
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