Prairie Medicine Ltd
LBN: Prairie Medicine Ltd
Prairie Medicine Ltd is an health care organization with primary practice located at 421 S Beaumont Rd , Prairie Du Chien WI 53821-1905. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty.
Prairie Medicine Ltd can be contacted via phone (608) 326-6402, or through Jones, Brenda J via phone (608) 326-6402.
Contact Information
Primary practice address
421 S Beaumont Rd
Prairie Du Chien WI 53821-1905
Phone: (608) 326-6402
Fax: (608) 326-6404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X |
Profile Details
| NPI number | 1063499739 |
|---|---|
| LBN Legal business name | Prairie Medicine Ltd |
| DBA Doing business as | |
| Authorized official | Jones, Brenda J |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 23rd, 2005 |
| Last updated | Oct 16th, 2007 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063499739 | NPPES |
| Iowa | MEDICAID | 0944967 | |
| Iowa | MEDICAID | 30071400 |
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