Provider Demographics
NPI:1497281489
Name:LANDMARK REHABILITATION HOSPITAL OF COLUMBIA, LLC
Entity Type:Organization
Organization Name:LANDMARK REHABILITATION HOSPITAL OF COLUMBIA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:STRASH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-320-7154
Mailing Address - Street 1:604 OLD HIGHWAY 63 N
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201-6308
Mailing Address - Country:US
Mailing Address - Phone:573-499-6600
Mailing Address - Fax:573-499-6650
Practice Address - Street 1:604 OLD HIGHWAY 63 N
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-6308
Practice Address - Country:US
Practice Address - Phone:573-499-6600
Practice Address - Fax:573-499-6650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital