Ripon Medical Center

NPI #1598081846 in Waupun, Wisconsin

Provider Information

NPI Number: 1598081846
Entity Type: Organization
Organization Name: Ripon Medical Center
Subpart: Yes (part of a larger organization)
Parent Organization: RIPON MEDICAL CENTER
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Apr 12, 2010
Last Updated: Feb 14, 2011

Practice Location

Address: 1001 W MAIN ST
City: Waupun
State: Wisconsin
ZIP Code: 53963-1601
Phone: (920) 324-9301

Authorized Official

Name: KIMRY JOHNSRUD
Title: INTERIM COO
Phone: (920) 748-9190

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetic/Orthotic Supplier	335E00000X
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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