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	314000000X	Skilled Nursing Facility	06-000058-1	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	107977	OTHER	IN	ANTHEM

General Provider Information

NPI Number	:	1851713283
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	:	812-765-3153
Fax Number	:

Provider Business Practice Location Address
First Line	:	540 BELMONT DR
Second Line	:
City	:	COLUMBUS
State	:	IN
Zip	:	47201-5220
Country	:	US
Telephone Number	:	812-669-5500
Fax Number	:

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

Provider Enumeration Date	:	01/21/2014
Last Update Date	:	04/17/2026

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Directions to “COLUMBUS REGIONAL HOSPITAL ” Practice Location

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