Provider Demographics
NPI:1932158367
Name:COLUMBUS COMMUNITY HOSPITAL
Entity type:Organization
Organization Name:COLUMBUS COMMUNITY HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:VANEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-493-7650
Mailing Address - Street 1:109 SHULT DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:TX
Mailing Address - Zip Code:78934-3009
Mailing Address - Country:US
Mailing Address - Phone:979-732-5794
Mailing Address - Fax:979-732-5795
Practice Address - Street 1:109 SHULT DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:TX
Practice Address - Zip Code:78934-3015
Practice Address - Country:US
Practice Address - Phone:979-732-5794
Practice Address - Fax:979-732-5795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1268898-04Medicaid
TX1268898-02OtherEPSDT
TX453415OtherMEDICARE