COLUMBUS REGIONAL HOSPITAL (NPI# 1548275134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548275134 |
| Entity Type | Organization |
| Organization Name | COLUMBUS REGIONAL HOSPITAL |
| Other Organization Name | GARDEN VILLA - BLOOMINGTON |
| Practice Address |
1100 S Curry Pike Bloomington IN 47403-2629 |
| Mailing Address |
2400 17th St Columbus IN 47201-5351 |
| Practice Telephone | 8123391657 |
| Practice Fax Number | 8123356804 |
| Mailing Telephone | 8123794441 |
| Mailing Fax Number | 8123765963 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2013-02-28 |
| Authorized Official Name | MS. MARLENE WEATHERWAX (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8123765205 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311500000X | Alzheimer Center (Dementia Center) | Nursing & Custodial Care Facilities | ||
| N | 311Z00000X | Custodial Care Facility | Nursing & Custodial Care Facilities | ||
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities | ||
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100275040B | 05 | |
| IN | ANTHEM BLUE CROSS | 000000098144 | 01 |
| Other Name | Type Code |
|---|---|
| Garden Villa - Bloomington | 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 |
| 1689096018 | Columbus Regional Hospital | Skilled Nursing Facility | 101 Potters Ln, Clarksville, IN 47129-1017 | 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 |
| 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 |
1100 S CURRY PIKE |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403-2629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154341089 | Julie Chapin | Psychologist | 1100 S Curry Pike, Bloomington, IN 47403-2629 | 2006-07-21 |
| 1083168934 | Lois Irisa Rae Butcher | Occupational Therapist | 1100 S Curry Pike, Bloomington, IN 47403-2629 | 2016-08-09 |
| 1124228135 | Doreen Dotlich Devitt | Speech-Language Pathologist | 1100 S Curry Pike, Bloomington, IN 47403-2629 | 2007-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| 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 |
|---|---|---|---|---|
| 1023618956 | Empowerme Rehabilitation Illinois, LLC | Skilled Nursing Facility | 3203 E Moores Pike, Bloomington, IN 47401-7122 | 2020-10-29 |
| 1639520034 | Luther Oaks Inc | Skilled Nursing Facility | 601 Lutz Rd, Bloomington, IL 61704-8608 | 2016-06-27 |
| 1447641683 | Daviess County Hospital | Skilled Nursing Facility | 363 S Fieldstone Blvd, Bloomington, IN 47403-9806 | 2015-02-10 |
| 1023425915 | Tanja Lutman | Skilled Nursing Facility | 1207 Dover Rd, Bloomington, IL 61704-7608 | 2014-07-13 |
| 1881009660 | Arba Care Center of Bloomington LLC | Skilled Nursing Facility | 1509 Calhoun St, Bloomington, IL 61701-1514 | 2014-06-30 |
| 1316375686 | Daviess County Hospital | Skilled Nursing Facility | 3043 N Lintel Dr, Bloomington, IN 47404-8945 | 2013-10-24 |
| 1346315165 | Westminster Village Inc | Skilled Nursing Facility | 2025 E. Lincoln, Bloomington, IL 61701-5995 | 2006-11-21 |
| 1598789240 | Presbyterian Homes Bloomington Care Center, Inc | Skilled Nursing Facility | 9889 Penn Ave S, Bloomington, MN 55431-2912 | 2006-07-26 |
| 1821040031 | Hendricks County Hospital | Skilled Nursing Facility | 155 E Burks Dr, Bloomington, IN 47401-8459 | 2006-05-16 |
| 1386695476 | Ggnsc Minneapolis Bloomington LLC | Skilled Nursing Facility | 9200 Nicollet Ave S, Bloomington, MN 55420-3714 | 2006-05-13 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
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| 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.