Active NPI
Columbia Ancillary Services Inc
- Oxygen Equipment & Supplies (DME)
- Bloomsburg, PA
National Provider Identifier
1104914811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- Legal business name
- COLUMBIA ANCILLARY SERVICES INC
- Practice address
- 1141 Ridge Road
Bloomsburg, PA 17815 - Phone
- (570) 784-1526
- Fax
- (570) 784-1573
- NPI assigned
- Oct 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brian D Klingerman
- Title
- President
- Phone
- (570) 784-1410
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | Primary |
Addresses
Primary practice location
1141 Ridge Road
Bloomsburg, PA 17815
Mailing address
1388 State Route 487
Bloomsburg, PA 17815
Phone (570) 784-1410
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007522780002 | Medicaid | PA | |
| 1007522780007 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930013721 | PA | DME Supplier - Medical Supply Company With Respiratory Therapist | 9830216506 | Practice locations: Bloomsburg, PA |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Lewisberry, PA
- NPI 1588244115
9830216506
-
- Durable Medical Equipment & Medical Supplies
- Bloomsburg, PA
- NPI 1720673411
9830216506
-
- Durable Medical Equipment & Medical Supplies
- Houtzdale, PA
- NPI 1649428020
9830216506
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Columbia Ancillary Services, Inc. | Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Hospital Beds (Electric)|Hospital Beds (Manual)|Negative Pressure Wound Therapy Pumps/Supplies|Pneumatic Compression Devices and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|Canes and/or Crutches… | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Columbia Ancillary Serv
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Oxygen Equipment & Supplies (DME)
- Wilkes Barre, PA
- NPI 1568676930
-
- Durable Medical Equipment & Medical Supplies
- Lewisberry, PA
- NPI 1588244115
-
- Durable Medical Equipment & Medical Supplies
- Bloomsburg, PA
- NPI 1720673411
-
- Durable Medical Equipment & Medical Supplies
- Houtzdale, PA
- NPI 1649428020
Locations
1141 Ridge Rd
Bloomsburg, PA 17815
Phone (570) 784-1526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1104914811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1388 STATE ROUTE 487",
"city": "BLOOMSBURG",
"state": "PA",
"postal_code": "17815",
"telephone_number": "570-784-1410",
"fax_number": "800-326-8307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1141 RIDGE ROAD",
"city": "BLOOMSBURG",
"state": "PA",
"postal_code": "17815",
"telephone_number": "570-784-1526",
"fax_number": "570-784-1573"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLUMBIA ANCILLARY SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-10",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "KLINGERMAN",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "570-784-1410",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007522780002",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007522780007",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomsburg, PA
- Shawn Clavelle, MSW, LSW
- Clover Leaf Counseling Center, LLC.
- Cmsu Behavioral Health and Developmental Services
- Cmsu MH/Mr and D&a Program
- Anna Coleman
- Columbia Ancillary Services Inc
- Columbia Anesthesia Associates
- Columbia Montour Family Health
- Columbia Montour Home Health Services Vna, Inc.
- Columbia/Montour Aging Office Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.