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General NPI Number Information
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NPI Number | 1548362809
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Entity Type | Organization
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Legal Business Name | COLUMBUS COMMUNITY HOSPITAL INC
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Dates
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Enumeration Date | 09/05/2006
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Last Update Date | 05/15/2015
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Provider Practice Location Address
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Address Line | 303 MAIN ST
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City | HUMPHREY
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State | NE
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Zip | 68642-3155
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Country | US
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Telephone | 402-923-0412
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Fax | 402-923-0414
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Provider Business Mailing Address
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Address Line | PO BOX 1800
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City | COLUMBUS
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State | NE
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Zip | 68602-1800
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Country | US
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Telephone | 402-564-7118
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Fax | 402-562-3378
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Authorized Official
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Title or Position | VICE-PRESIDENT FINANCE
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Name | MR. CHAD E VAN CLEAVE
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Credential |
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Telephone | 402-564-7118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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