Healthcare Provider Details

I. General information

NPI: 1821592205
Provider Name (Legal Business Name): COLUMBUS COMMUNITY HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2018
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4508 38TH ST STE 250
COLUMBUS NE
68601-1668
US

IV. Provider business mailing address

PO BOX 1800
COLUMBUS NE
68602-1800
US

V. Phone/Fax

Practice location:
  • Phone: 402-564-5333
  • Fax: 402-564-9372
Mailing address:
  • Phone: 402-564-7118
  • Fax: 402-562-3378

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. CHAD E VAN CLEAVE
Title or Position: VICE PRESIDENT FINANCE
Credential:
Phone: 402-562-3357