Organization
RIPON MEDICAL CENTER
Active
Parent organization
RIPON MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIPON MEDICAL CENTER
Authorized official
KIMRY JOHNSRUD (INTERIM COO)
(920) 748-9190
Entity
Organization
Contact information
Practice address
1001 W MAIN ST, WAUPUN, WI 53963-1601
(920) 324-9301
Mailing address
1001 W MAIN ST, WAUPUN, WI 53963-1601
(920) 324-9301
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
04/12/2010
Last updated
02/14/2011
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