COLUMBUS REGIONAL HOSPITAL (NPI# 1689096018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689096018 |
| Entity Type | Organization |
| Organization Name | COLUMBUS REGIONAL HOSPITAL |
| Other Organization Name | WEDGEWOOD HEALTHCARE CENTER |
| Practice Address |
101 Potters Ln Clarksville IN 47129-1017 |
| Practice Telephone | 8129480808 |
| Practice Fax Number | 8129480889 |
| Mailing Telephone | 8129480808 |
| Mailing Fax Number | 8129480889 |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2018-11-29 |
| Authorized Official Name | MARLENE WEATHERWAX (CFO) |
| Authorized Official Telephone | 8123765205 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 10-000166-1 | IN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | HUMANA | 000016609A | 01 |
| IN | ANTHEM | 000000108027 | 01 |
| IN | 100267080C | 05 |
| Other Name | Type Code |
|---|---|
| Kindred Transitional Care and Rehabilitation-Wedgewood | Doing Business As Name - Organization |
| Wedgewood Healthcare Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104998624 | Columbus Regional Hospital | Psychiatric Unit | 2400 East 17th St, Columbus, IN 47201-5351 | 2006-11-14 |
| 1104831718 | Columbus Regional Hospital | Alzheimer Center (Dementia Center) | 2111 Norton Ln, Bedford, IN 47421-4522 | 2006-07-30 |
| 1770905101 | Columbus Regional Hospital | Skilled Nursing Facility | 3625 Saint Joseph Rd, New Albany, IN 47150-9745 | 2014-01-21 |
| 1851713283 | Columbus Regional Hospital | Skilled Nursing Facility | 2100 Midway St, Columbus, IN 47201-3722 | 2014-01-21 |
| 1033531462 | Columbus Regional Hospital | Skilled Nursing Facility | 150 Beechmont Dr Ne, Corydon, IN 47112-1717 | 2014-01-21 |
| 1609212794 | Columbus Regional Hospital | Skilled Nursing Facility | 240 Beechmont Dr Ne, Corydon, IN 47112-1718 | 2013-05-15 |
| 1346686433 | Columbus Regional Hospital | Skilled Nursing Facility | 7823 Old State Road 60, Sellersburg, IN 47172-1858 | 2013-05-15 |
| 1548275134 | Columbus Regional Hospital | Alzheimer Center (Dementia Center) | 1100 S Curry Pike, Bloomington, IN 47403-2629 | 2006-07-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COLUMBUS REGIONAL HOSPITAL | 2400 East 17th St, Columbus, IN 47201-5351 |
| System for Award Management (SAM) Entities | COLUMBUS REGIONAL HOSPITAL FOUNDATION, INC. | 2400 17th St, Columbus, IN 47201-5360 |
| Street Address |
101 POTTERS LN |
| City | CLARKSVILLE |
| State | IN |
| Zip Code | 47129-1017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710184056 | Matthew T Basa Iv | Physical Therapist | 101 Potters Ln, Clarksville, IN 47129-1017 | 2007-06-29 |
| 1376025882 | Janice Lynn Brightwell | Physical Therapist | 101 Potters Ln, Clarksville, IN 47129-1017 | 2018-08-30 |
| 1619286515 | Deborah Thomas | Speech-Language Pathologist | 101 Potters Ln, Clarksville, IN 47129-1017 | 2010-09-27 |
| 1659523801 | Carmela Reyes | Physical Therapist | 101 Potters Ln, Clarksville, IN 47129-1017 | 2008-10-21 |
| 1629225487 | Carrie Lostutter | Occupational Therapist | 101 Potters Ln, Clarksville, IN 47129-1017 | 2008-08-24 |
| 1952558132 | Kristie Liter | Occupational Therapist | 101 Potters Ln, Clarksville, IN 47129-1017 | 2008-08-19 |
| 1396900429 | Sarah Heckman | Occupational Therapist | 101 Potters Ln, Clarksville, IN 47129-1017 | 2008-07-29 |
| 1942464052 | Annette Robinson | Occupational Therapist | 101 Potters Ln, Clarksville, IN 47129-1017 | 2008-07-17 |
| 1144484262 | Wendy Hall | Physical Therapy Assistant | 101 Potters Ln, Clarksville, IN 47129-1017 | 2008-07-17 |
| 1093979452 | Phyllis Ann Ashbrook | Occupational Therapy Assistant | 101 Potters Ln, Clarksville, IN 47129-1017 | 2008-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997912 | Steven W Spalding | Massage Therapist | 4755 Us-31 East, Clarksville, IN 47129 | 2020-09-22 |
| 1194373571 | Clarksville Psych Hospital, LLC | Psychiatric Hospital | 1612 Blackiston View Dr, Clarksville, IN 47129 | 2019-08-29 |
| 1699261792 | Richard H Milburn | Physical Therapist | Communicare Healthcare Center, 101 Potters Ln, Clarksville, IN 47129 | 2018-07-02 |
| 1851833891 | Kojo Spio | Pharmacist | 1106 Veterans Parkway, Clarksville, IN 47129 | 2016-11-08 |
| 1972870772 | Gail Glasgow | Pharmacist | 220 E. Lewis and Clark Parkway, Clarksville, IN 47129 | 2011-11-22 |
| 1417272360 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1401 Veterans Pkwy, Clarksville, IN 47129 | 2010-04-05 |
| 1275866394 | Sarah Capri Davenport | Psychologist | 1329 Applegate Lane, Southern Indiana Rehab Hospital, Clarksville, IN 47129 | 2009-09-08 |
| 1467623629 | Mortenson Family Dental Center- Clarksville, LLC | Dentist | 1240 Veterans Parkway, Suite 100, Clarksville, IN 47129 | 2008-03-17 |
| 1932394087 | Amy Bedan Poff | Nurse Practitioner | 2051 Clevidence Blvd Ste B, Clarksville, IN 47129 | 2007-09-12 |
| 1376757054 | Rukhsana Ikram Rahman | Internal Medicine | 630 Eastern Blvd, Clarksville, IN 47129 | 2007-05-10 |
| Find all providers in zip 47129 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831691922 | Fpacp Clarksville LLC | Skilled Nursing Facility | 2407 West Main Highway 82, Clarksville, TX 75426 | 2018-03-05 |
| 1528448974 | Tennessee State Veterans Home Board | Skilled Nursing Facility | 250 Arrowood Drive, Clarksville, TN 37042 | 2015-06-01 |
| 1962838748 | Rehab America | Skilled Nursing Facility | 900 Professional Park, Clarksville, TN 37040-0000 | 2013-09-24 |
| 1437593811 | Johnson County Health and Rehab, LLC | Skilled Nursing Facility | 1451 East Poplar St, Clarksville, AR 72830-0000 | 2013-04-29 |
| 1669640272 | Donna L Carron | Skilled Nursing Facility | 198 Farmer Rd, Clarksville, TN 37043-7010 | 2008-02-16 |
| 1891985131 | Lp Clarksville LLC | Skilled Nursing Facility | 198 Old Farmers Rd, Clarksville, TN 37043-4032 | 2007-08-01 |
| 1598837486 | Indiana Health & Rehabilitation Centers | Skilled Nursing Facility | 517 N Hallmark Dr, Clarksville, IN 47129-6629 | 2006-11-15 |
| 1477595775 | Integrity Healthcare of Clarksville, LLC | Skilled Nursing Facility | 111 Ussery Rd, Clarksville, TN 37043-4530 | 2006-06-12 |
| 1699736421 | Nexion Health At Bogata, Inc. | Skilled Nursing Facility | 2407 W Main St, Clarksville, TX 75426-3327 | 2006-03-31 |
| 1124015680 | Kmj Enterprises Clarksville LLC | Skilled Nursing Facility | 400 Oak Ct, Clarksville, AR 72830-3778 | 2005-09-30 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 47129 |
Please comment or provide details below to improve the information on COLUMBUS REGIONAL HOSPITAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.