Prairie Ridge Health, Inc. in Columbus - Critical Access
Prairie Ridge Health, Inc. - NPI 1154403657
Prairie Ridge Health, Inc. is a Critical Access in Columbus, Wisconsin. Prairie Ridge Health, Inc. practices all healthcare services and medical treatments related to Critical Access. The NPI Number for Prairie Ridge Health, Inc. is 1154403657. The last update date is 2020-07-30.
Prairie Ridge Health, Inc.'s current location address is 1515 Park Ave, Columbus, Wisconsin. You can contact this provider via phone number 9206232200 and fax number 9206231441. The mailing address for Prairie Ridge Health, Inc. is 1515 Park Ave, Columbus, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prairie Ridge Health, Inc. |
|---|---|
| Address | 1515 Park Ave, Columbus, Wisconsin |
| Phone Number | 9206232200 |
| Fax Number | 9206231441 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Mangan Melissa |
| Telephone Number | 9206238453 |
NPI Number Detail
| NPI Number | 1154403657 |
|---|---|
| Provider Enumeration Date | 2006-10-20 |
| Last Updated Date | 2020-07-30 |
Provider Mailing Address Detail
| Address | 1515 Park Ave |
|---|---|
| City | Columbus |
| State | Wisconsin (WI) |
| Post Code | 539252402 |
| Phone Number | 9206232200 |
| Fax Number | 9206231441 |
Provider's Primary Taxonomy Detail
| Speciality | Critical Access |
|---|---|
| Taxonomy | 282Nc0060X |
| Licence No | 278-800 |
|
Definition: Small, rural hospital meeting location and service criteria that allow it to receive cost-based Medicare and Medicaid reimbursement. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11012810 | WI | -- | |
| 36200200 | WI | -- | |
| WI0105 | WI | JOHN DEERE CRNA | |
| 43414600 | WV | -- | |
| 32763600 | WI | -- | |
| WI0100 | WI | JOHN DEERE EKG, RT | |
| 41172200 | WI | -- | |
| WI0104 | WI | JOHN DEERE ER/UC |
Post Comment/ Review Below
What is the Prairie Ridge Health, Inc.'s 1154403657?
The Prairie Ridge Health, Inc.'s NPI (National Provider Identifier) Number is 1154403657. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Prairie Ridge Health, Inc.'s facilities are geographically located?
The facilities of Prairie Ridge Health, Inc. are physically situated at the following location: 1515 Park Ave, Columbus, WI, 539252402.
What is Prairie Ridge Health, Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Prairie Ridge Health, Inc. is Critical Access, and the corresponding taxonomy classification code for this specialized field is 282Nc0060X.
On what date did Prairie Ridge Health, Inc. receive its 1154403657 assignment from the Centers for Medicare & Medicaid Services?
The Prairie Ridge Health, Inc. was assigned its 1154403657 on 2006-10-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Prairie Ridge Health, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Prairie Ridge Health, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-07-30.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY