NPIMap

Organization Active NPI

Columbus Community Hospital Inc

Doing business as Columbus Orthopedic & Sports Medicine Clinic

  • Orthopaedic Surgery Physician
  • Columbus, NE
National Provider Identifier
1144592544
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
COLUMBUS COMMUNITY HOSPITAL INC
Doing business as
Columbus Orthopedic & Sports Medicine Clinic
Practice address
4508 38TH St
Suite 133
Columbus, NE 68601-1668
Phone
(402) 563-3644
Fax
(402) 564-5805
NPI assigned
Jan 31, 2012
Last updated
Sep 24, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
COLUMBUS COMMUNITY HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 24, 2015

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

Authorized official

Name
Mr. Chad E Van Cleave
Title
Vice President Finance
Phone
(402) 562-3357

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

4508 38TH St
Suite 133
Columbus, NE 68601-1668

Mailing address

PO Box 1800
Columbus, NE 68602-1800
Phone (402) 564-7118

Other identifiers 1

IdentifierTypeStateIssuer
10026188000MedicaidNE

Other names 1

  • Columbus Orthopedic & Sports Medicine Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120508000181 NE Part B Supplier - Clinic/Group Practice 7517954944 Receives reassigned benefits from 81 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: York, NE; Pender, NE; Papillion, NE; Orchard, NE; Omaha, NE; Columbus, NE; Norfolk, NE; Neligh, NE…

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
South Sioux City Medica

Locations

4508 38th St
Ste 133
Columbus, NE 68601
Phone (402) 562-4700

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 31

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.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1144592544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1800",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686021800",
            "telephone_number": "402-564-7118",
            "fax_number": "402-562-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4508 38TH ST",
            "address_2": "SUITE 133",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686011668",
            "telephone_number": "402-563-3644",
            "fax_number": "402-564-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS COMMUNITY HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLUMBUS COMMUNITY HOSPITAL INC",
        "enumeration_date": "2012-01-31",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "VAN CLEAVE",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "402-562-3357",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026188000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbus Orthopedic & Sports Medicine Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.