Organization
COLUMBUS COMMUNITY HOSPITAL INC
Active
Parent organization
COLUMBUS COMMUNITY HOSPITAL INC
Other names
CCH Professional Services
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) 564-7118
Entity
Organization
Contact information
Practice address
4600 38TH ST, COLUMBUS, NE 68601-1664
(402) 564-7118
(402) 562-3378
Mailing address
PO BOX 1800, COLUMBUS, NE 68602-1800
(402) 564-7118
(402) 562-3378
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
207P00000X
Emergency Medicine Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03417
BCBS NE (LOCUMS) GRP #
NE
01
—
08554
BCBS NE (CRNA) GRP #
NE
01
—
119099
COVENTRY (CRNA) GROUP #
NE
01
—
81052
BCBS NE (CDE) GRP #
NE
01
—
84476
COVENTRY (ER) GROUP #
NE
01
—
H123
MIDLANDS CHOICE GRP #
NE
Enumeration date
09/12/2006
Last updated
07/24/2021
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