Organization
PRAIRIE RIDGE HEALTH, INC.
Active
Other names
Columbus Community Hospital, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN RUSSELL (PRESIDENT & CEO)
(920) 623-1368
Entity
Organization
Contact information
Practice address
1515 PARK AVE, COLUMBUS, WI 53925-2402
(920) 623-2200
(920) 623-1441
Mailing address
1515 PARK AVE, COLUMBUS, WI 53925-2402
(920) 623-2200
(920) 623-1441
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
278-800
WI
Other
Enumeration date
10/30/2006
Last updated
11/06/2019
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