Healthcare Provider Details

I. General information

NPI: 1275580003
Provider Name (Legal Business Name): COLUMBUS HOSPITAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 08/28/2023
Certification Date: 08/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2223 POSHARD RD
COLUMBUS IN
47203-1844
US

IV. Provider business mailing address

PO BOX 287
GREENWOOD IN
46142-0287
US

V. Phone/Fax

Practice location:
  • Phone: 812-376-1771
  • Fax: 317-885-9063
Mailing address:
  • Phone: 317-887-1348
  • Fax: 317-885-9063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number73742
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number33567
License Number StateIN
# 4
Primary TaxonomyN
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number73779
License Number StateIN
# 5
Primary TaxonomyY
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number73722
License Number StateIN

VIII. Authorized Official

Name: STEVE FILTON
Title or Position: SR VP CFO
Credential:
Phone: 610-678-3300