Provider Demographics
NPI:1639117427
Name:COLUMBUS COMMUNITY HOSPITAL
Entity Type:Organization
Organization Name:COLUMBUS COMMUNITY HOSPITAL
Other - Org Name:HOME HEALTH AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MUESSE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:979-732-2371
Mailing Address - Street 1:109 SHULT DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:COLUMBUS
Mailing Address - State:TX
Mailing Address - Zip Code:78934-3015
Mailing Address - Country:US
Mailing Address - Phone:979-732-2371
Mailing Address - Fax:979-732-9012
Practice Address - Street 1:109 SHULT DR
Practice Address - Street 2:SUITE 202
Practice Address - City:COLUMBUS
Practice Address - State:TX
Practice Address - Zip Code:78934-3015
Practice Address - Country:US
Practice Address - Phone:979-732-2371
Practice Address - Fax:979-732-9012
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COLUMBUS COMMUNITY HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-03
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX003088251B00000X, 251E00000X, 251F00000X, 251J00000X, 251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
No251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX457417Medicare ID - Type Unspecified