# COLUMBIA CORRECTIONAL INSTITUTION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** CCI
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760522452
- **Authorized official:** DR. DALIA SULIENE MD (PHYSICIAN)
- **Authorized official phone:** (608) 742-9100

## Contact information

- **Practice address:** 2925 COLUMBIA DR, PORTAGE, WI 53901-9485
- **Practice address phone:** (608) 742-9100
- **Mailing address:** 2925 COLUMBIA DR, PORTAGE, WI 53901-9485

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 28096 | WI | Yes |

## Other

- **Enumeration date:** 02/08/2007
- **Last updated:** 05/23/2008