PRAIRIE RIDGE HEALTH, INC.


Address: 301 W Main St, Marshall, WI 53559-9799
Phone: 9206232200

PRAIRIE RIDGE HEALTH, INC. (NPI# 1477005544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477005544
Entity Type Organization
Organization Name PRAIRIE RIDGE HEALTH, INC.
Other Organization Name COLUMBUS COMMUNITY HOSPITAL, INC.
Practice Address 301 W Main St
Marshall
WI 53559-9799
Mailing Address Po Box 418
Marshall
WI 53559-0418
Practice Telephone 9206232200
Practice Fax Number 9206231441
Mailing Telephone 6086558181
Mailing Fax Number 6086558224
Enumeration Date 2016-10-25
Last Update Date 2019-11-06
Authorized Official Name MR. JOHN RUSSELL (PRESIDENT & CEO)
Authorized Official Telephone 9206231368
Is Organization Subpart Y
Parent Organization Name COLUMBUS COMMUNITY HOSPITAL, INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 364SF0001X Clinical Nurse Specialist
Specialization: Family Health
2985 WI Physician Assistants & Advanced Practice Nursing Providers
Y 261QP2300X Clinic/Center
Specialization: Primary Care
21498-20 WI Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WI CLIA NUMBER 52D2123598 01

Other Provider/Organization Names

Other Name Type Code
Columbus Community Hospital, Inc. Former Legal Business Name - Organization
Prairie Ridge Health Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1861905846 Prairie Ridge Health, Inc. Pharmacy 1515 Park Ave, Columbus, WI 53925-1618 2017-11-13
1093137416 Prairie Ridge Health, Inc. Surgery 118 W Maple Ave, Beaver Dam, WI 53916-2104 2014-01-21
1912329335 Prairie Ridge Health, Inc. Surgery 1511 Park Ave, Columbus, WI 53925-2401 2014-01-21
1841376183 Prairie Ridge Health, Inc. General Acute Care Hospital 1515 Park Ave, Columbus, WI 53925-2402 2006-10-30
1750467098 Prairie Ridge Health, Inc. Medicare Defined Swing Bed Unit 1515 Park Ave, Columbus, WI 53925-2402 2006-10-30
1154403657 Prairie Ridge Health, Inc. General Acute Care Hospital 1515 Park Ave, Columbus, WI 53925-2402 2006-10-20

Office Location

Street Address 301 W MAIN ST
City MARSHALL
State WI
Zip Code 53559-9799

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649752247 Tanya Kok Dental Hygienist 964 County Road T, Marshall, WI 53559 2018-08-30
1144358243 Dane County Ems District No 14 Ambulance 119 Industrial Dr., Marshall, WI 53559-8715 2007-03-01
1790121671 Tiffany Chanel Gray Registered Nurse 211 W Main St, Marshall, WI 53559-8964 2013-05-17
1659681260 Marshall Pharmacy Pharmacy 701 W Main St, Marshall, WI 53559-8982 2010-10-15
1629302062 Marshall Pharmacy LLC Pharmacy 701 W Main St, Marshall, WI 53559-8982 2009-10-01
1053746826 Akissi T Aka Licensed Practical Nurse 923 Lewellen St, Marshall, WI 53559-9004 2013-09-11
1699223800 Laura Gillis Counselor 624 Water Tower Dr, Marshall, WI 53559-9042 2016-09-15
1740460765 Jt School Dist 2 Village of Marshall Et Al Local Education Agency (LEA) 617 Madison St, Marshall, WI 53559-9273 2007-11-07
1164452884 Sandra Carmen Canon Chiropractor 131 E Main St, Marshall, WI 53559-9377 2006-07-05
1124377510 Christy Ann Elaine Bemis Massage Therapist 131 E Main St, Marshall, WI 53559-9377 2012-08-31
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811448764 Justin Cramer Md, LLC Clinic/Center 1309 W Fairgrounds Rd Ste B, Marshall, MO 65340-4884 2016-10-16
1679963888 Access Family Health Clinic/Center 300 N Alamo Blvd, Marshall, TX 75670-3451 2015-01-26
1144495599 D. J. Fahnestock, D. C., P. C. Clinic/Center 269 S Jefferson Ave, Marshall, MO 65340-2134 2008-04-28
1356469357 County of Madison Clinic/Center 493 Medical Park Dr, Marshall, NC 28753-3901 2007-03-27

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1588275036 Abifka Healthcare Inc. Clinic/Center 8725 S Wood Creek Dr, Oak Creek, WI 53154-7502 2020-08-10
1306483508 Achieve Wellness Clinic Clinic/Center 1417 Winchester Way, Suite 6, Altoona, WI 54720-5472 2019-12-06
1386295061 Careatc Clinic/Center 1400 E Wisconsin St, Delavan, WI 53115-1470 2019-09-24
1295386977 Careatc Clinic/Center 4600 W Loomis Rd Ste 200, Greenfield, WI 53220-4858 2019-09-24
1639728496 Quad/med, LLC Clinic/Center 725 South Street, Mayville, WI 53050 2019-09-05
1316505464 New Richmond Family Care, LLC Clinic/Center 1500 Madison Ave # 5c, New Richmond, WI 54017-6693 2019-06-04
1609433705 Activate Healthcare Clinic/Center 660 Vandeberg St, Baldwin, WI 54002-3251 2019-05-23
1043703838 Interra Health Inc. Clinic/Center 5 Innovation Ct Ste B, Appleton, WI 54914-1739 2018-06-07
1942792254 Quad/med, LLC Clinic/Center 1900 W. Sumner Street, Hartford, WI 53027 2018-06-01
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Competitor

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City MARSHALL
Zip Code 53559

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Dataset Information

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.

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