NPIMap

Organization Active NPI

Columbus Community Hospital

  • Rural Acute Care Hospital
  • Columbus, TX
National Provider Identifier
1740238641
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
000014 Issued in TX
Legal business name
COLUMBUS COMMUNITY HOSPITAL
Practice address
110 Shult Dr
Columbus, TX 78934-3016
Phone
(979) 732-2371
Fax
(979) 732-9242
NPI assigned
May 4, 2006
Last updated
Jun 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Authorized official

Name
Mr. James E. Vanek
Title
Chief Executive Officer
Phone
(979) 732-7561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X 000014 TX Primary

Addresses

Primary practice location

110 Shult Dr
Columbus, TX 78934-3016

Mailing address

110 Shult Dr
Columbus, TX 78934-3016
Phone (979) 732-2371

Other identifiers 2

IdentifierTypeStateIssuer
450370OtherTXMEDICARE
135033204MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040310001231 TX Part A Provider - Hospital 1557250446 Practice locations: Columbus, TX
O20040417000423 TX Part B Supplier - Clinic/Group Practice 1557250446 Receives reassigned benefits from 15 practitioners
Practice locations: Columbus, TX; Eagle Lake, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740238641. Details of each certification follow.

Hospital certification: CCN 450370

Legal name
COLUMBUS COMMUNITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Feb 10, 2022
Beds
40 (36 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Feb 27, 1950 in TX
Enrollment address
110 Shult Dr
Columbus, TX 78934-3016
Main/Primary Hospital Location
Hospital subgroups
Acute care

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

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Columbus Community HospitalCCN 450370 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

107 Shult Dr
Ste 200
Columbus, TX 78934
Phone (979) 493-7762

109 Shult Dr
Ste 207
Columbus, TX 78934
Phone (979) 733-9197

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
Columbus Community Hospital Organization, Columbus, TX Corporation, Non-profit Operational/Managerial Control May 1, 2019
Jerry Haluska Individual Corporate DirectorDirector May 1, 2020
Curtiss Schonenberg Individual Corporate DirectorDirector May 1, 2020
Catharina Jamison Individual Corporate Director May 1, 2011
Pat Gillespie Individual Corporate Director May 1, 2011
Drew Lynch Individual Corporate DirectorDirector May 1, 2021
Chuck Rankin Individual Corporate DirectorDirector May 1, 2021
Gregory S Pritchett Individual W-2 Managing EmployeeCfo May 29, 2020 2%
Dyann Lauzon Individual Corporate Director May 1, 2019
Brent Leftwich Individual Corporate Director May 1, 2019
James Vanek Individual 5% Or Greater Direct Ownership InterestChief Executive Officer May 1, 2015
Lisa Moeller Individual Corporate Director May 1, 2015

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Columbus Medical ClinicColumbus, TX, CCN 458608 Rural health clinic 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jan 1, 2008
Jan 1, 2008
Four Oaks Medical ClinicColumbus, TX, CCN 453415 Rural health clinic Operational/Managerial Control Jan 1, 2010

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Practitioners 24

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 24

Affiliated clinicians 240

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

View all 240

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1740238641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SHULT DR",
            "city": "COLUMBUS",
            "state": "TX",
            "postal_code": "789343016",
            "telephone_number": "979-732-2371",
            "fax_number": "979-732-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SHULT DR",
            "city": "COLUMBUS",
            "state": "TX",
            "postal_code": "789343016",
            "telephone_number": "979-732-2371",
            "fax_number": "979-732-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "VANEK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "979-732-7561",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "TX",
            "license": "000014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "450370",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135033204",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, TX

Sources for this page

Verify at the official NPI Registry.