Prairie Ridge Health, Inc.

NPI #1912329335 in Columbus, Wisconsin

Provider Information

NPI Number: 1912329335
Entity Type: Organization
Organization Name: Prairie Ridge Health, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: COLUMBUS COMMUNITY HOSPITAL INC
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Jan 21, 2014
Last Updated: Nov 6, 2019

Practice Location

Address: 1511 PARK AVE
City: Columbus
State: Wisconsin
ZIP Code: 53925-2401
Phone: (920) 623-2200

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X
Orthopaedic Surgery	207X00000X	Primary

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