Organization
PRAIRIE RIDGE HEALTH, INC.
Active
Other names
Columbus Community Health, 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
282NC0060X
Critical Access Hospital
Primary
278-800
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000093
DEAN CARE
WI
01
—
1009297
PHYSICIANS PLUS INSURANCE
WI
05
—
11012800
—
WI
05
—
11012810
—
WI
Enumeration date
10/30/2006
Last updated
11/06/2019
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