NPIMap

Organization Active NPI

Columbus Community Hospital Inc

Doing business as Columbus General Surgery

  • Surgery Physician
  • Columbus, NE
National Provider Identifier
1821592205
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
COLUMBUS COMMUNITY HOSPITAL INC
Doing business as
Columbus General Surgery
Practice address
4508 38TH St Ste 250
Columbus, NE 68601-1668
Phone
(402) 564-5333
Fax
(402) 564-9372
NPI assigned
Mar 21, 2018
Last updated
Jan 27, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
COLUMBUS COMMUNITY HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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
Wound Care Registered Nurse 163WW0000X NU
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

4508 38TH St Ste 250
Columbus, NE 68601-1668

Mailing address

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

Other names 1

  • COLUMBUS GENERAL SURGERY 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
Practice locations: York, NE; Pender, NE; Papillion, NE; Orchard, NE; Omaha, NE; Columbus, NE; Norfolk, NE; Neligh, NE…

Other NPIs with the same Medicare PAC ID 5

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

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

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 88

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 88

NPI Registry JSON

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1821592205",
    "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 STE 250",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686011668",
            "telephone_number": "402-564-5333",
            "fax_number": "402-564-9372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS COMMUNITY HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLUMBUS COMMUNITY HOSPITAL INC",
        "enumeration_date": "2018-03-21",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "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": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLUMBUS GENERAL SURGERY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COLUMBUS GENERAL SURGERY",
            "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 Jan 27, 2025; 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.