Pediatrust Columbus, LLC

Pediatric Skilled Nursing Facility · Columbus, MS

Organization Active NPI

NPI number 1639606940

Practice location

2213 5TH St N
Columbus, MS 39705-2211
Phone
(662) 570-1957
Fax
(662) 470-1035

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NPI record

NPI
1639606940
Entity type
Organization (Type 2)
Enumeration date
May 17, 2017
Last updated
October 23, 2023
Certified
October 23, 2023
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Skilled Nursing Facility Primary 3140N1450X — —

Mailing address

6700 Jefferson Highway, Building 12, Ste B
Baton Rouge, LA 70806
Phone
(225) 665-6555
Fax
(225) 665-6555

Authorized official

Name
Leann Craig
Title
CEO
Phone
(225) 252-7633

About Pediatrust Columbus, LLC

Pediatrust Columbus, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Pediatric Skilled Nursing Facility (code 3140N1450X). The practice location is 2213 5TH St N, Columbus, MS 39705-2211. The NPI number 1639606940 was assigned on May 17, 2017 and the record was last updated on October 23, 2023.

The authorized official for this organization is Leann Craig, CEO.

Frequently asked questions

What is the NPI number of Pediatrust Columbus, LLC?

The NPI number is 1639606940.

What is the phone number of Pediatrust Columbus, LLC?

The phone number listed for the practice location is (662) 570-1957.

Where is Pediatrust Columbus, LLC located?

2213 5TH St N, Columbus, MS 39705-2211.

What is the taxonomy code for Pediatrust Columbus, LLC?

The primary taxonomy code is 3140N1450X – Pediatric Skilled Nursing Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.