Prairie Ridge Health, Inc.

LBN: Prairie Ridge Health, Inc.
Prairie Ridge Health, Inc. is an health care organization with primary practice located at 1515 Park Ave , Columbus WI 53925-2402. The organization recently has only one registered license in Hospitals / Critical Access, which is considered as the primary health care specialty. Prairie Ridge Health, Inc. can be contacted via phone (920) 623-2200, or through Mangan, Melissa via phone (920) 623-8453.

Contact Information

Primary practice address
1515 Park Ave Columbus WI 53925-2402
Phone: (920) 623-2200
Fax: (920) 623-1441
Website:
Map and Directions
Authorized official contact:
Name: Mangan, Melissa
Phone: (920) 623-8453

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X 278-800 Wisconsin

Profile Details

NPI number 1154403657
LBN Legal business name Prairie Ridge Health, Inc.
DBA Doing business as
Authorized official Mangan, Melissa
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2006
Last updated Jul 30th, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154403657 NPPES
Wisconsin MEDICAID 11012810
Wisconsin MEDICAID 36200200
Wisconsin Other WI0105
Wisconsin MEDICAID 43414600
Wisconsin MEDICAID 32763600
Wisconsin Other WI0100
Wisconsin MEDICAID 41172200
Wisconsin Other WI0104

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