Healthcare Provider Details

I. General information

NPI: 1881713477
Provider Name (Legal Business Name): COLUMBUS COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 05/09/2023
Certification Date: 05/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 SHULT DR
COLUMBUS TX
78934-3016
US

IV. Provider business mailing address

110 SHULT DRIVE
COLUMBUS TX
78934-3016
US

V. Phone/Fax

Practice location:
  • Phone: 979-732-2371
  • Fax: 979-732-9242
Mailing address:
  • Phone: 979-732-2371
  • Fax: 979-732-9242

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License Number000014
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number000014
License Number StateTX

VIII. Authorized Official

Name: JAMES VANEK
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 979-732-2371