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Organization
SAUK PRAIRIE HEALTHCARE INC
Active
Organization
SAUK PRAIRIE HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES DREGNEY (CFO)
(608) 643-7212
Entity
Organization
Contact information
Practice address
260 26TH ST, PRAIRIE DU SAC, WI 53578-1599
(608) 643-3311
Mailing address
PO BOX 70, PRAIRIE DU SAC, WI 53578-0070
(608) 643-3311
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
3945800
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00495
MEDICARE PROVIDER NUMBER
WI
01
—
11013600
MEDICAID PROVIDER NUMBER
WI
01
—
21160
MEDICARE CRNA
WI
01
—
32944900
MA REFERRED LABS
WI
01
—
40427200
MA LODI THERAPY
WI
01
—
40427300
MA RIVER VALLEY THERAPY
WI
01
—
41119100
MA AUDIOLOGY
WI
01
—
520095
MEDICARE PROVIDER NUMBER
WI
01
—
52U095
MEDICARE SWINGBED
WI
Enumeration date
02/14/2006
Last updated
02/23/2018
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