COLUMBUS REGIONAL HOSPITAL
Alzheimer Center
Bedford, Indiana
Provider NPI: 1104831718
Organization Information:Organization Name: COLUMBUS REGIONAL HOSPITAL
Practice Location:
2111 NORTON LN BEDFORD, IN 47421 US
Tel: 812-279-4437 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
2111 NORTON LN BEDFORD, IN 47421 US
Tel: 812-279-4437 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | ||
N | 311Z00000X | Nursing & Custodial Care Facilities Custodial Care Facility | ||
N | 313M00000X | Nursing & Custodial Care Facilities Nursing Facility/Intermediate Care Facility | ||
N | 3140N1450X | Nursing & Custodial Care Facilities Skilled Nursing Facility | ||
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
ANTHEM BLUE CROSS | 000000098145 | IN | 01 |
100450900A | IN | 05 | |
100274460B | IN | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin