Active NPI
Columbia Montour Home Health Services Vna, Inc.
- Registered Nurse
- Berwick, PA
National Provider Identifier
1255488904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 708605
- 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, 2020
- 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
- Mrs. Jane Gittler
- Title
- Ceo
- Phone
- (570) 784-1723
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007466820006 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
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
- Sang Youl Choi, MD
- Christopher a. Snyder DO PC (Dermatology Centers of Nepa)
- CHS Berwick Hospital Center (Berwick Hospital Center Home Health Private Care)
- Joshua James Clark, PHARMD
- Columbia Foot & Ankle Center PC
- Comprehensive Vein Care Inc (Personal Care Family Practice)
- Roger F Crake, MD
- Megan Colleen Crawford, PA-C
- David Curfman, M.S., P.T.
- John E Definnis, DDS
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.