Organization Active NPI

Geisinger Community Health Services

Doing business as Columbia Montour Hosipce

  • Community Based Hospice Care Agency
  • Bloomsburg, PA
National Provider Identifier
1477559276
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
153399 Issued in PA
Legal business name
GEISINGER COMMUNITY HEALTH SERVICES
Doing business as
Columbia Montour Hosipce
Practice address
410 Glenn Ave
Suite 200
Bloomsburg, PA 17815-1200
Phone
(570) 784-1723
Fax
(570) 784-8512
NPI assigned
Jun 27, 2005
Last updated
May 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2015

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

Authorized official

Name
Mrs. Denise Prince
Title
Chief Executive Officer
Phone
(570) 214-9492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 153399 PA Primary

Addresses

Primary practice location

410 Glenn Ave
Suite 200
Bloomsburg, PA 17815-1200

Mailing address

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

Other names 1

  • Columbia Montour Hosipce Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

4200 Hospital Rd
Coal Township, PA 17866
Phone (570) 644-4200

3011 William Penn Hwy
Easton, PA 18045
Phone (610) 923-7932

101 S Main St
Lewistown, PA 17044
Phone (717) 248-3336

705 E Sunbury St
Millerstown, PA 17062
Phone (717) 589-3012

229 S Mountain Blvd
Mountain Top, PA 18707
Phone (570) 474-5958

13 W Independence St
Ste 2
Shamokin, PA 17872
Phone (570) 644-9061

110 Trieble Dr
Ste 1
Tunkhannock, PA 18657
Phone (570) 996-2700

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Apr 1, 2019 Change of OwnershipThis provider was the seller Geisinger HospiceCCN 391533, PA, NPI 1972060226

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1477559276",
    "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": "410 GLENN AVE",
            "address_2": "SUITE 200",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178151200",
            "telephone_number": "570-784-1723",
            "fax_number": "570-784-8512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEISINGER COMMUNITY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-27",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "570-214-9492",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "PA",
            "license": "153399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia Montour Hosipce",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomsburg, PA

Sources for this page

Verify at the official NPI Registry.