Columbus Community Hospital, Inc.

LBN: Prairie Ridge Health, Inc.
Columbus Community Hospital, Inc. is an health care organization with primary practice located at 301 W Main St , Marshall WI 53559-9799. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family Health. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Prairie Ridge Health, Inc. can be contacted via phone (920) 623-2200, or through Russell, John via phone (920) 623-1368.

Contact Information

Primary practice address
301 W Main St Marshall WI 53559-9799
Fax: (920) 623-1441
Website:
Authorized official contact:
Name: Russell, John

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 21498-20 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family Health 364SF0001X 2985 Wisconsin

Profile Details

NPI number 1477005544
LBN Legal business name Prairie Ridge Health, Inc.
DBA Doing business as Columbus Community Hospital, Inc.
Authorized official Russell, John
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 25th, 2016
Last updated Aug 26th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477005544 NPPES
Wisconsin Other 52D2123598 CLIA NUMBER

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