Organization
COLUMBUS MEDICAL SERVICES, LLC
Active
Other names
The Columbus Organization
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN NOLAN (CONTRACTS MANAGER)
(800) 229-5116
Entity
Organization
Contact information
Practice address
2150 S 1300 E STE 500, SALT LAKE CITY, UT 84106
(800) 229-5116
Mailing address
500 E SWEDESFORD RD STE 100, WAYNE, PA 19087-1614
(800) 229-5116
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000979052
—
GA
05
—
0622478
—
NJ
05
—
1512668
—
TN
05
—
201087800
—
IN
05
—
201212480
—
IN
05
—
7100472200
—
KY
05
—
7100531280
—
KY
Enumeration date
07/13/2018
Last updated
07/24/2018
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