NPIMap

Organization Active NPI

Columbus Regional Hospital

  • General Acute Care Hospital
  • Columbus, IN
National Provider Identifier
1104998624
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
COLUMBUS REGIONAL HOSPITAL
Practice address
2400 17TH St
Columbus, IN 47201-5351
Phone
(812) 379-4441
Fax
(812) 376-5963
NPI assigned
Nov 14, 2006
Last updated
Apr 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Heather Hubbard
Title
VP Revenue
Phone
(812) 376-5011

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X IN
Rehabilitation Hospital Unit 273Y00000X IN
General Acute Care Hospital 282N00000X IN Primary
Ambulance 341600000X IN

Addresses

Primary practice location

2400 17TH St
Columbus, IN 47201-5351

Mailing address

PO Box 776755
Chicago, IL 60677-6755
Phone (812) 379-4441

Other identifiers 5

IdentifierTypeStateIssuer
100268200AMedicaidIN
100293890AMedicaidIN
100454010AMedicaidIN
000000054333OtherINBLUE CROSS
100268190AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20050620000104 IN Part B Supplier - Clinic/Group Practice 7214916113 Receives reassigned benefits from 2 practitioners
Practice locations: Columbus, IN
O20071201000058 IN Part A Provider - Hospital 7214916113 Practice locations: Columbus, IN; Nashville, IN; Indianapolis, IN
O20160406000738 IN Part B Supplier - Intensive Cardiac Rehabilitation 7214916113 Practice locations: Columbus, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104998624. Details of each certification follow.

Hospital certification: CCN 150112

Legal name
COLUMBUS REGIONAL HOSPITAL
Doing business as
COLUMBUS REGIONAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 1, 2012
Beds
160
Ownership / control type
Local
Organization structure
GovernmentNon-profit
Enrollment address
2400 17TH St
Columbus, IN 47201-5351
Other Hospital Practice Location
Hospital subgroups
Acute care, Psychiatric, Rehabilitation

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Columbus Regional HospitalCCN 150112 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Frederick G Shedd Individual Corporate OfficerBoard Member Jan 3, 2012 100%
Denise L Chastain Individual W-2 Managing Employee Mar 21, 2005
David Doup Individual Corporate OfficerBoard Member Jan 4, 2016 100%
Angela Donovan Individual W-2 Managing EmployeeChargemaster Specialist Mar 17, 2021 100%
Don Trapp Individual Corporate OfficerBoard Member Aug 28, 2017 100%
Kevina Schumaker Individual Corporate Officer Jan 1, 2022
Donald L Michael Individual Corporate OfficerBoard Member Jan 5, 2009 100%
Raymond Lee Kiser Individual Corporate OfficerCmo Mar 1, 2025
Columbus Regional Hospital Organization, Columbus, IN Non-profit Operational/Managerial Control Mar 7, 2013 100%
Zack Ellison Individual Corporate OfficerBoard Member Jan 2, 2013 100%
Heather Hubbard Individual Corporate OfficerVP Revenue Mar 23, 2026
James D Bickel Individual Corporate OfficerInterim Ceo Aug 15, 2025

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Majestic Care of BloomingtonBloomington, IN, CCN 155019 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2012
Majestic Care of BedfordBedford, IN, CCN 155100 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2013
The Belmont Health & RehabilitationColumbus, IN, CCN 155133 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2014

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 567

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 567

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1104998624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776755",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776755",
            "telephone_number": "812-379-4441",
            "fax_number": "812-376-5963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 17TH ST",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472015351",
            "telephone_number": "812-379-4441",
            "fax_number": "812-376-5963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS REGIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "VP REVENUE",
        "authorized_official_telephone_number": "812-376-5011"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IN",
            "license": null,
            "primary": true
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100268200A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100293890A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100454010A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000000054333",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100268190A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

Verify at the official NPI Registry.