NPIMap

Organization Active NPI

Columbus Community Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Columbus, TX
National Provider Identifier
1881713477
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
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
Mar 28, 2007
Last updated
May 9, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
COLUMBUS COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Authorized official

Name
James Vanek
Title
Chief Executive Officer
Phone
(979) 732-2371

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 000014 TX Primary
Rural Acute Care Hospital 282NR1301X 000014 TX

Addresses

Primary practice location

110 Shult Dr
Columbus, TX 78934-3016

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121003000780 TX Part A Provider - Hospital 1557250446 Practice locations: Columbus, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881713477. Details of each certification follow.

Hospital certification: CCN 45U370

Legal name
COLUMBUS COMMUNITY HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Sep 29, 1974 in TX
Enrollment address
110 Shult Dr
Columbus, TX 78934-3016
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 3

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

National Provider Directory

National Provider Directory
Tax ID family
Columbus Community Hospital3 organizations share this tax ID, including this one
Part of
Columbus Community Hospital

Other organizations with this tax ID 2

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

Locations

109 Shult Dr
#Four
Columbus, TX 78934
Phone (979) 732-5794

109 Shult Dr
Ste 101
Columbus, TX 78934
Phone (979) 732-5794

109 Shult Dr
Ste 202
Columbus, TX 78934
Phone (361) 210-7366

2122 Highway 71 S
#101
Columbus, TX 78934
Phone (979) 732-2318

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
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 Corporate OfficerChief Financial Officer May 29, 2020
W-2 Managing EmployeeCfo May 29, 2020 2%
Operational/Managerial ControlCfo Jun 5, 2020
Dyann Lauzon Individual Corporate DirectorDirector May 1, 2019
Brent Leftwich Individual Corporate DirectorDirector May 1, 2019
James Vanek Individual 5% Or Greater Indirect Ownership InterestChief Executive Officer May 1, 2015
Corporate OfficerChief Executive Officer May 1, 2015 100%
Operational/Managerial ControlChief Executive Officer May 1, 2015 70%
Lisa Moeller Individual Corporate DirectorBoard Member May 1, 2015

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Columbus Community HospitalColumbus, TX, CCN 450370 Hospital Operational/Managerial Control May 1, 2019
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 3

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

Practitioners & affiliated clinicians

Practitioners 23

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 23

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1881713477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SHULT DRIVE",
            "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": "YES",
        "parent_organization_legal_business_name": "COLUMBUS COMMUNITY HOSPITAL",
        "enumeration_date": "2007-03-28",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "VANEK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "979-732-2371"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "TX",
            "license": "000014",
            "primary": true
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "TX",
            "license": "000014",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, TX

Sources for this page

Verify at the official NPI Registry.