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NPI Code Detail

MEDICARE: COLUMBUS HEALTH CARE, INC.

MEDICARE: COLUMBUS HEALTH CARE, INC.
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
1314000000XSkilled Nursing FacilityNH-0018NE

General Provider Information

NPI Number : 1245653302
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLUMBUS HEALTH CARE, INC.
Provider Business Mailing Address
First Line : 4715 38TH ST
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-1622
Country : US
Telephone Number : 402-885-6120
Fax Number : 402-895-8165
Provider Business Practice Location Address
First Line : 4715 38TH ST
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-1622
Country : US
Telephone Number : 402-885-6120
Fax Number : 402-895-8165
Authorized Official
Title or Position : CFO/OWNER
Name : MR. JACK D VETTER
Credential :
Telephone Number : 402-895-3932
Provider Enumeration Date : 01/27/2014
Last Update Date : 09/23/2014

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Directions to “COLUMBUS HEALTH CARE, INC. ” Practice Location

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