Active NPI
Kla Medical Services, Inc.
- Home Health Agency
- Columbus, GA
National Provider Identifier
1730257437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 106R0014
- Legal business name
- KLA MEDICAL SERVICES, INC.
- Practice address
- 1214 Wildwood Ave
Columbus, GA 31906-2538 - Phone
- (706) 320-0230
- Fax
- (706) 221-7136
- NPI assigned
- Dec 1, 2006
- 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
- Lynn Watson, MANAGER
- Title
- Manager
- Phone
- (706) 320-0230
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 106R0014 | GA | Primary |
Addresses
Primary practice location
1214 Wildwood Ave
Columbus, GA 31906-2538
Mailing address
1214 Wildwood Ave
Columbus, GA 31906-2538
Phone (706) 320-0230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00902052A | Medicaid | GA |
National Provider Directory
National Provider Directory- Tax ID family
- Kla Medical Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Columbus, GA
- NPI 1528233038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1730257437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1214 WILDWOOD AVE",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319062538",
"telephone_number": "706-320-0230",
"fax_number": "706-221-7136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1214 WILDWOOD AVE",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319062538",
"telephone_number": "706-320-0230",
"fax_number": "706-221-7136"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KLA MEDICAL SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WATSON",
"authorized_official_first_name": "LYNN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "706-320-0230",
"authorized_official_credential": "MANAGER"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "GA",
"license": "106R0014",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00902052A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
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.