Healthcare Provider Details

I. General information

NPI: 1932158367
Provider Name (Legal Business Name): COLUMBUS COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 07/19/2022
Certification Date: 07/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 SHULT DR
COLUMBUS TX
78934-3015
US

IV. Provider business mailing address

109 SHULT DR
COLUMBUS TX
78934-3009
US

V. Phone/Fax

Practice location:
  • Phone: 979-732-5794
  • Fax: 979-732-5795
Mailing address:
  • Phone: 979-732-5794
  • Fax: 979-732-5795

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES E. VANEK
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 979-493-7650