Provider Demographics
NPI:1487885208
Name:COLUMBIA COMMUNITY PHYSICIANS
Entity type:Organization
Organization Name:COLUMBIA COMMUNITY PHYSICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC CODING COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:PINNOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-319-3070
Mailing Address - Street 1:2311 N PROSPECT AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53211-4445
Mailing Address - Country:US
Mailing Address - Phone:414-319-3090
Mailing Address - Fax:414-319-3041
Practice Address - Street 1:2311 N PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53211-4445
Practice Address - Country:US
Practice Address - Phone:414-319-3090
Practice Address - Fax:414-319-3041
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COLUMBIA ST MARY'S HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-07-28
Last Update Date:2009-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistGroup - Multi-Specialty