Organization
PRAIRIE RIDGE HEALTH, INC.
Active
Parent organization
COLUMBUS COMMUNITY HOSPITAL, INC.
Other names
Columbus Community Hospital, Inc., CCH Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLUMBUS COMMUNITY HOSPITAL, INC.
Authorized official
MR. JOHN RUSSELL (PRESIDENT & CEO)
(920) 623-1368
Entity
Organization
Contact information
Practice address
1515 PARK AVE, COLUMBUS, WI 53925-1618
(920) 623-2200
(920) 623-1580
Mailing address
1515 PARK AVE, COLUMBUS, WI 53925-1618
(920) 623-2200
(920) 623-1580
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
6020-42
WI
Other
Enumeration date
11/13/2017
Last updated
11/06/2019
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