Organization
SAUK PRAIRIE HEALTHCARE INC
Active
Parent organization
SAUK PRAIRIE HEALTHCARE INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAUK PRAIRIE HEALTHCARE INC
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
367500000X
Certified Registered Nurse Anesthetist
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32764200
—
WI
01
—
CC7369
RAILROAD MEDICARE
—
Enumeration date
02/06/2007
Last updated
02/22/2018
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