NPIMap

Organization Active NPI

Columbia Ancillary Services Inc

  • Oxygen Equipment & Supplies (DME)
  • Wilkes Barre, PA
National Provider Identifier
1568676930
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
COLUMBIA ANCILLARY SERVICES INC
Practice address
563 Carey Ave
Columbia Ancillary Services Inc
Wilkes Barre, PA 18703
Phone
(570) 208-3803
Fax
(570) 820-7182
NPI assigned
May 9, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PA
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X PA
Oxygen Equipment & Supplies (DME) 332BX2000X PA Primary

Addresses

Primary practice location

563 Carey Ave
Columbia Ancillary Services Inc
Wilkes Barre, PA 18703

Mailing address

1388 State RT 487
Bloomsburg, PA 17815
Phone (570) 784-1410

Other identifiers 1

IdentifierTypeStateIssuer
1007522780007MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Columbia Ancillary Serv5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1568676930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1388 STATE RT 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": "563 CAREY AVE",
            "address_2": "COLUMBIA ANCILLARY SERVICES INC",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "18703",
            "telephone_number": "570-208-3803",
            "fax_number": "570-820-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA ANCILLARY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "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": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007522780007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.