Organization
PRAIRIE RIDGE HEALTH, INC.
Active
Parent organization
PRAIRIE RIDGE HEALTH, INC.
Other names
Columbus Community Hospital, Inc., Prairie Ridge Health Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRAIRIE RIDGE HEALTH, INC.
Authorized official
MR. JOHN RUSSELL (PRESIDENT & CEO)
(920) 623-1368
Entity
Organization
Contact information
Practice address
134 CORPORATE DR, BEAVER DAM, WI 53916-3116
(920) 356-1000
Mailing address
1515 PARK AVE, COLUMBUS, WI 53925-2402
(920) 623-2200
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
01/21/2014
Last updated
04/06/2026
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