Organization Active NPI

Columbia Montour Home Health Services Vna, Inc.

  • Registered Nurse
  • Berwick, PA
National Provider Identifier
1255488904
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
708605 Issued in PA
Legal business name
COLUMBIA MONTOUR HOME HEALTH SERVICES VNA, INC.
Practice address
107 S Market St
Suite 3
Berwick, PA 18603-4824
Phone
(570) 759-3970
Fax
(570) 759-7841
NPI assigned
Jan 4, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Jane Gittler
Title
Ceo
Phone
(570) 784-1723

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 708605 PA Primary

Addresses

Primary practice location

107 S Market St
Suite 3
Berwick, PA 18603-4824

Mailing address

410 Glenn Ave
Suite 200
Bloomsburg, PA 17815-1200
Phone (570) 784-1723

Other identifiers 1

IdentifierTypeStateIssuer
1007466820006MedicaidPA

National Provider Directory

National Provider Directory

Locations

107 S Market St
Ste 3
Berwick, PA 18603
Phone (570) 759-3970

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255488904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 GLENN AVE",
            "address_2": "SUITE 200",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178151200",
            "telephone_number": "570-784-1723",
            "fax_number": "570-784-8512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S MARKET ST",
            "address_2": "SUITE 3",
            "city": "BERWICK",
            "state": "PA",
            "postal_code": "186034824",
            "telephone_number": "570-759-3970",
            "fax_number": "570-759-7841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA MONTOUR HOME HEALTH SERVICES VNA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GITTLER",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "570-784-1723",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "708605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007466820006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwick, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.