Organization · Type 2 NPI

Prairie Ridge Health, Inc.

Primary Care Clinic/Center · Marshall, WI

NPI number 1477005544 Active

Practice location

301 W Main St
Marshall, WI 53559-9799

Call (920) 623-2200 Map

Fax (920) 623-1441

Mailing address

PO Box 418
Marshall, WI 53559-0418

Specialties and licenses

Taxonomy	Code	License
Primary Care Clinic/Center Primary	261QP2300X	21498-20 (WI)
Family Health Clinical Nurse Specialist	364SF0001X	2985 (WI)

Primary Care Clinic/Center: Definition to come...

NPI record

NPI: 1477005544
Entity type: Organization (Type 2)
Issued: Oct 25, 2016
Last updated: Aug 26, 2022
Status: Active
Subpart: Yes of Columbus Community Hospital, Inc

Other names

<unavail>
Prairie Ridge Health Clinic · doing business as
Columbus Community Hospital, Inc. · former legal business name

Authorized official

Mr. John Russell
President & CEO
(920) 623-1368

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1477005544

Prairie Ridge Health, Inc.'s National Provider Identifier is 1477005544, issued on Oct 25, 2016. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Marshall, WI. The record was last updated on Aug 26, 2022.