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NPI Code Detail

MEDICARE: COLUMBIA LEASING CO., LLC

MEDICARE: COLUMBIA LEASING CO., LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1902347420
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLUMBIA LEASING CO., LLC
Provider Business Mailing Address
First Line : 10123 ALLIANCE RD
Second Line :
City : BLUE ASH
State : OH
Zip : 45242-4887
Country : US
Telephone Number : 513-530-1808
Fax Number :
Provider Business Practice Location Address
First Line : 6700 COLUMBIA PIKE
Second Line :
City : ANNANDALE
State : VA
Zip : 22003-3450
Country : US
Telephone Number : 703-256-7000
Fax Number : 703-256-3531
Authorized Official
Title or Position : SECRETARY / TREASURER
Name : CHARLES STOLTZ
Credential :
Telephone Number : 513-530-1808
Provider Enumeration Date : 03/16/2017
Last Update Date : 05/01/2025

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Directions to “COLUMBIA LEASING CO., LLC ” Practice Location

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