NPIMap

Organization Active NPI

Columbus Community Hospital Inc

Doing business as Columbus Community Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Columbus, NE
National Provider Identifier
1598869240
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
630001 Issued in NE
Legal business name
COLUMBUS COMMUNITY HOSPITAL INC
Doing business as
Columbus Community Hospital
Practice address
4600 38TH St
Columbus, NE 68601-1664
Phone
(402) 564-7118
Fax
(402) 562-3378
NPI assigned
Sep 12, 2006
Last updated
May 15, 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 May 15, 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) 564-7118

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 630001 NE Primary
Skilled Nursing Facility 314000000X LTCH007 NE

Addresses

Primary practice location

4600 38TH St
Columbus, NE 68601-1664

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
00162OtherNEBCBS NE SNF

Other names 1

  • Columbus Community Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070918000034 NE Part A Provider - Hospital 7517954944 Practice locations: Columbus, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1598869240. Details of each certification follow.

Hospital certification: CCN 28U111

Legal name
COLUMBUS COMMUNITY HOSPITAL INC
Doing business as
COLUMBUS COMMUNITY HOSPITAL
Organization structure
CorporationNon-profit
Enrollment address
4600 38TH St
Columbus, NE 68601-1664
Hospital Swing-Bed Unit
Hospital subgroups
Swing-bed approved

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory
Tax ID family
South Sioux City Medica6 organizations share this tax ID, including this one
Part of
South Sioux City Medica

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Charles Seadschlag Individual Corporate Director May 1, 2021
John Pavlik Individual Corporate Officer May 1, 2023
Corporate Director May 2, 2022
Tanya Sandifer Individual W-2 Managing EmployeeVP of Patient Care Services Jul 31, 2023
Operational/Managerial ControlVP of Patient Care Services Jul 31, 2023
Craig Matthew Pekny Individual Corporate Officer May 1, 2025
Corporate Director May 2, 2022
Michael Thomas Hansen Individual Corporate OfficerBoard Secretary & President/Ceo Nov 30, 2009
W-2 Managing EmployeeBoard Secretary & President/Ceo Nov 30, 2009
Operational/Managerial ControlBoard Secretary & President/Ceo Nov 30, 2009
Keith Luedders Individual W-2 Managing EmployeeVice President Ancillary Services Aug 3, 2020
Operational/Managerial ControlVice President Ancillary Services Aug 3, 2020
Benjamin J Hellbusch Individual Corporate Director May 1, 2024
Daniel J Rosenquist Individual Corporate Director May 1, 2019
Mark Steven Howerter Individual W-2 Managing EmployeeChief Medical Officer Jul 30, 2023
Operational/Managerial ControlChief Medical Officer Jul 30, 2023
Dallas Beshaler Individual Corporate Director May 1, 2025
Travis Bock Individual Corporate Director May 1, 2025
Abbie M Tessendorf Individual Corporate Director May 1, 2020
Scott E Messersmith Individual W-2 Managing EmployeeVice President of Operations and HR May 9, 2016
Operational/Managerial ControlVice President of Operations and HR May 9, 2016
Rolando S Renteria Individual Corporate Director May 1, 2023
Kurt Kapels Individual Corporate Director Jan 1, 2025
Chad E Vancleave Individual Corporate OfficerVice-President Finance Apr 5, 2015
W-2 Managing EmployeeVice-President Finance Oct 19, 2009
Operational/Managerial ControlVice-President Finance Oct 19, 2009
Jacqueline Tessendorf Individual Corporate Director May 1, 2023
Sarah S Pillen Individual Corporate Officer May 1, 2021
Corporate Director May 1, 2018

Owners & managing parties with NPI records 3

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

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

Affiliated clinicians 5

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

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431648000000",
    "number": "1598869240",
    "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": "4600 38TH ST",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686011664",
            "telephone_number": "402-564-7118",
            "fax_number": "402-562-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS COMMUNITY HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLUMBUS COMMUNITY HOSPITAL INC",
        "enumeration_date": "2006-09-12",
        "last_updated": "2015-05-15",
        "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": "402-564-7118",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NE",
            "license": "630001",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "LTCH007",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NE SNF",
            "identifier": "00162",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbus Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, NE

Sources for this page

Verify at the official NPI Registry.