# COLUMBUS COMMUNITY HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437668613
- **Authorized official:** DR. NATHAN REABE RPH (PHARMACY MANAGER)
- **Authorized official phone:** (920) 623-1381

## Contact information

- **Practice address:** 1515 PARK AVE, COLUMBUS, WI 53925-1618
- **Practice address phone:** (920) 623-1381
- **Practice address fax:** (952) 653-2540
- **Mailing address:** 6501 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3248
- **Mailing address phone:** (952) 653-2565
- **Mailing address fax:** (952) 653-2540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | 6020-42 | WI | Yes |

## Other

- **Enumeration date:** 09/20/2017
- **Last updated:** 09/20/2017