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1104998624

NPI Code Detail

MEDICARE: COLUMBUS REGIONAL HOSPITAL

MEDICARE: COLUMBUS REGIONAL HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	273R00000X	Psychiatric Hospital Unit		IN
2	341600000X	Ambulance		IN
3	273Y00000X	Rehabilitation Hospital Unit		IN
4	282N00000X	General Acute Care Hospital		IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	000000054333	OTHER	IN	BLUE CROSS
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104998624
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLUMBUS REGIONAL HOSPITAL

Provider Business Mailing Address
First Line	:	PO BOX 776755
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60677-6755
Country	:	US
Telephone Number	:	812-379-4441
Fax Number	:	812-376-5963

Provider Business Practice Location Address
First Line	:	2400 17TH ST
Second Line	:
City	:	COLUMBUS
State	:	IN
Zip	:	47201-5351
Country	:	US
Telephone Number	:	812-379-4441
Fax Number	:	812-376-5963

Authorized Official
Title or Position	:	VP REVENUE
Name	:	HEATHER HUBBARD
Credential	:
Telephone Number	:	812-376-5011

Provider Enumeration Date	:	11/14/2006
Last Update Date	:	04/17/2026

Similar Medicare Providers

1336510098 — COLUMBUS REGIONAL HEALTH PHYSICIANS, LLC
Practice Location Address:

2400 17TH ST
COLUMBUS, IN
47201-5351

Practice Phone: 812-373-3025
Practice Fax:

1629054044 — MR. JOHNALLEN F. SCHMITT FNP-C
Practice Location Address:

2400 17TH ST
COLUMBUS, IN
47201-5351

Practice Phone: 812-348-4000
Practice Fax:

1336197672 — LISA SUE JONES NP
Practice Location Address:

2400 17TH ST
COLUMBUS, IN
47201-5351

Practice Phone: 812-376-5974
Practice Fax: 812-375-3203

1124079850 — CANCER CARE GROUP, P.C.
Practice Location Address:

2400 17TH ST
COLUMBUS, IN
47201-5351

Practice Phone: 812-376-5544
Practice Fax: 812-376-5930

1912951062 — EMERGENCY PHYSICIANS INC OF COLUMBUS
Practice Location Address:

2400 17TH ST
COLUMBUS, IN
47201-5351

Practice Phone: 812-376-5277
Practice Fax:

1164477097 — NADEEM IKHLAQUE MD
Practice Location Address:

2400 17TH ST
COLUMBUS, IN
47201-5351

Practice Phone: 812-376-5550
Practice Fax: 812-376-5930

Directions to “COLUMBUS REGIONAL HOSPITAL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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