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NPI Code Detail

MEDICARE: VSL COLUMBUS LLC

MEDICARE: VSL COLUMBUS LLC
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 FacilityNH0018NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NH0018OTHERNEFACILTY LICENSE

General Provider Information

NPI Number : 1598295016
Entity Type Code : Organization
Provider Name (Legal Business Name) : VSL COLUMBUS LLC
Provider Business Mailing Address
First Line : 20220 HARNEY ST
Second Line :
City : ELKHORN
State : NE
Zip : 68022-2063
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 : 402-942-9260
Fax Number : 402-942-9297
Authorized Official
Title or Position : CHAIRMAN OF THE BOARD
Name : JACK D VETTER
Credential :
Telephone Number : 402-895-3932
Provider Enumeration Date : 06/18/2017
Last Update Date : 07/24/2025

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Directions to “VSL COLUMBUS LLC ” Practice Location

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