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Organization

COLUMBUS COMMUNITY HOSPITAL INC

Active
Parent organization
COLUMBUS COMMUNITY HOSPITAL INC
Other names
Columbus Orthopedic & Sports Medicine Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
COLUMBUS COMMUNITY HOSPITAL INC
Authorized official
MR. CHAD E VAN CLEAVE (VICE PRESIDENT FINANCE)
(402) 562-3357
Entity
Organization

Contact information

Practice address
4508 38TH ST, SUITE 133, COLUMBUS, NE 68601-1668
(402) 563-3644
(402) 564-5805
Mailing address
PO BOX 1800, COLUMBUS, NE 68602-1800
(402) 564-7118
(402) 562-3378

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
363A00000X
Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10026188000
NE
Enumeration date
01/31/2012
Last updated
09/24/2015
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