Provider Demographics
NPI:1275580003
Name:COLUMBUS HOSPITAL, LLC
Entity Type:Organization
Organization Name:COLUMBUS HOSPITAL, LLC
Other - Org Name:COLUMBUS BEHAVIORAL CENTER FOR CHILDREN AND ADOLESCENTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR VP CFO
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:FILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-678-3300
Mailing Address - Street 1:PO BOX 287
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46142-0287
Mailing Address - Country:US
Mailing Address - Phone:317-887-1348
Mailing Address - Fax:317-885-9063
Practice Address - Street 1:2223 POSHARD RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47203-1844
Practice Address - Country:US
Practice Address - Phone:812-376-1771
Practice Address - Fax:317-885-9063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN101YM0800X
IN73722323P00000X
IN73742323P00000X
IN33567323P00000X
IN73779323P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200151640AMedicaid
IN200492270AMedicaid
IN201049280AMedicaid