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NPI Code Detail

MEDICARE: COLUMBUS COMMUNITY HOSPITAL INC

MEDICARE: COLUMBUS COMMUNITY HOSPITAL INC
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 FacilityLTCH007NE
2275N00000XMedicare Defined Swing Bed Hospital Unit630001NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100162OTHERNEBCBS NE SNF

General Provider Information

NPI Number : 1598869240
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLUMBUS COMMUNITY HOSPITAL INC
Provider Business Mailing Address
First Line : PO BOX 1800
Second Line :
City : COLUMBUS
State : NE
Zip : 68602-1800
Country : US
Telephone Number : 402-564-7118
Fax Number : 402-562-3378
Provider Business Practice Location Address
First Line : 4600 38TH ST
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-1664
Country : US
Telephone Number : 402-564-7118
Fax Number : 402-562-3378
Authorized Official
Title or Position : VICE-PRESIDENT FINANCE
Name : MR. CHAD E VAN CLEAVE
Credential :
Telephone Number : 402-564-7118
Provider Enumeration Date : 09/12/2006
Last Update Date : 05/15/2015

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Directions to “COLUMBUS COMMUNITY HOSPITAL INC ” Practice Location

Language Start Address Practice Location
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