PRAIRIE RIDGE HEALTH, INC. (NPI# 1841376183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841376183 |
| Entity Type | Organization |
| Organization Name | PRAIRIE RIDGE HEALTH, INC. |
| Other Organization Name | COLUMBUS COMMUNITY HEALTH, INC. |
| Practice Address |
1515 Park Ave Columbus WI 53925-2402 |
| Practice Telephone | 9206232200 |
| Practice Fax Number | 9206231441 |
| Mailing Telephone | 9206232200 |
| Mailing Fax Number | 9206231441 |
| Enumeration Date | 2006-10-30 |
| Last Update Date | 2019-11-06 |
| Authorized Official Name | MR. JOHN RUSSELL (PRESIDENT & CEO) |
| Authorized Official Telephone | 9206231368 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
278-800 | WI | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | DEAN CARE | 000093 | 01 |
| WI | PHYSICIANS PLUS INSURANCE | 1009297 | 01 |
| WI | 11012810 | 05 | |
| WI | 11012800 | 05 |
| Other Name | Type Code |
|---|---|
| Columbus Community Health, Inc. | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861905846 | Prairie Ridge Health, Inc. | Pharmacy | 1515 Park Ave, Columbus, WI 53925-1618 | 2017-11-13 |
| 1477005544 | Prairie Ridge Health, Inc. | Clinical Nurse Specialist | 301 W Main St, Marshall, WI 53559-9799 | 2016-10-25 |
| 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 |
| 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 |
| Street Address |
1515 PARK AVE |
| City | COLUMBUS |
| State | WI |
| Zip Code | 53925-2402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720050909 | Veronica S Minier | Family Medicine | 1515 Park Ave, Columbus, WI 53925-1618 | 2006-02-02 |
| 1649804816 | Amanda Wedderspoon | Physician Assistant | 1515 Park Ave, Columbus, WI 53925-1618 | 2020-02-26 |
| 1316423361 | Lauren Autumn Sommer | Dietitian, Registered | 1515 Park Ave, Columbus, WI 53925-1618 | 2018-07-12 |
| 1861905846 | Prairie Ridge Health, Inc. | Pharmacy | 1515 Park Ave, Columbus, WI 53925-1618 | 2017-11-13 |
| 1043720105 | Stacy Biesel | Registered Nurse | 1515 Park Ave, Columbus, WI 53925-1618 | 2017-10-03 |
| 1437668613 | Columbus Community Hospital Inc | Non-Pharmacy Dispensing Site | 1515 Park Ave, Columbus, WI 53925-1618 | 2017-09-20 |
| 1962930719 | Rachel E Selm | Dietitian, Registered | 1515 Park Ave, Columbus, WI 53925-1618 | 2017-05-24 |
| 1598210247 | Stacey Depies | Physical Therapist | 1515 Park Ave, Columbus, WI 53925-1618 | 2016-08-23 |
| 1639623689 | Kimberly Schoenberger | Physical Therapist | 1515 Park Ave, Columbus, WI 53925-1618 | 2016-08-08 |
| 1942651955 | Asghar Marwat | Internal Medicine | 1515 Park Ave, Columbus, WI 53925-1618 | 2016-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275833659 | Beaver Dam Community Hosptials, Inc. | Family Medicine | 1580 W James St, Columbus, WI 53925 | 2010-11-01 |
| 1497972749 | Droessler Chiropractic Sc | Chiropractor | 1349 Park Avenue, Columbus, WI 53925 | 2007-04-19 |
| 1164487328 | Drs Beck & Becker Sc | Dentist | 1505 Park Ave., Columbus, WI 53925 | 2006-04-19 |
| 1245864735 | Margaret Mary Frank | Pharmacist | 1500 W James St, Columbus, WI 53925 | 2020-02-24 |
| 1821343401 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 200 Commerce Dr, Columbus, WI 53925 | 2012-07-19 |
| 1184723645 | James Michael Beck | Dentist | 1505 Park Ave., Columbus, WI 53925 | 2006-09-21 |
| 1194824649 | William James Becker | Dentist | 1505 Park Ave., Columbus, WI 53925 | 2006-09-21 |
| 1225004245 | Nazi S Khan | Internal Medicine | 1511 Park Ave, Columbus, WI 53925 | 2006-02-28 |
| 1689756157 | Walgreen Co | Pharmacy | 1500 W James St, Columbus, WI 53925-1001 | 2006-10-20 |
| 1770117327 | Mohammad Hamdan | Pharmacist | 1500 W James St, Columbus, WI 53925-1001 | 2020-02-22 |
| Find all providers in zip 53925 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043431414 | The Ohio State University Medical Center | General Acute Care Hospital | 2234 Sandman Dr, Columbus, OH 43235-7148 | 2007-05-01 |
| 1053488387 | Stillwater Hospital Association, Inc. | General Acute Care Hospital | 710 N 11th Street, Columbus, MT 59019-0959 | 2006-11-30 |
| 1780641118 | Mnmch, Inc | General Acute Care Hospital | 220 N Pennsylvania Ave, Columbus, KS 66725-1110 | 2006-04-28 |
| 1942636519 | Ohio State University Wexner Medical Center | General Acute Care Hospital | 410 W 10th Ave, Columbus, OH 43210-1240 | 2013-09-16 |
| 1306144241 | The Ohio State University Medical Center | General Acute Care Hospital | 915 Olentangy River Rd, Columbus, OH 43212-3153 | 2011-03-01 |
| 1619203452 | Mercy Hospital Columbus | General Acute Care Hospital | 220 N Pennsylvania Ave, Columbus, KS 66725-1110 | 2009-10-29 |
| 1871829812 | Mercy Hospital Columbus | General Acute Care Hospital | 220 N Pennsylvania Ave, Columbus, KS 66725 | 2009-10-27 |
| 1467605261 | Osu Internal Medicine, LLC | General Acute Care Hospital | 473 W 12th Ave, Suite 200, Columbus, OH 43210-1252 | 2008-10-24 |
| 1497939623 | Stillwater Hospital Association, Inc. | General Acute Care Hospital | 44 W 4th Ave N, Columbus, MT 59019-0959 | 2007-12-24 |
| 1871776914 | St Luke's Hospital Inc | General Acute Care Hospital | 101 Hospital Dr, Columbus, NC 28722-6418 | 2007-12-12 |
| Find all providers in COLUMBUS | ||||
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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.