Prairie Ridge Health, Inc.

NPI #1750467098 in Columbus, Wisconsin

Provider Information

NPI Number
1750467098
Entity Type
Organization
Organization Name
Prairie Ridge Health, Inc.
Primary Specialty
Medicare Defined Swing Bed Unit
Enumeration Date
Oct 30, 2006
Last Updated
Nov 6, 2019

Practice Location

Address
1515 PARK AVE
ZIP Code
53925-2402
Phone
(920) 623-2200

Authorized Official

Name
MR. JOHN RUSSELL
Title
PRESIDENT & CEO
Phone
(920) 623-1368

Specialties & Taxonomy Codes

Specialty
Medicare Defined Swing Bed Unit

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