PRAIRIE RIDGE HEALTH, INC. (NPI# 1861905846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861905846 |
Entity Type | Organization |
Organization Name | PRAIRIE RIDGE HEALTH, INC. |
Other Organization Name | COLUMBUS COMMUNITY HOSPITAL, INC. |
Practice Address |
1515 Park Ave Columbus WI 53925-1618 |
Practice Telephone | 9206232200 |
Practice Fax Number | 9206231580 |
Mailing Telephone | 9206232200 |
Mailing Fax Number | 9206231580 |
Enumeration Date | 2017-11-13 |
Last Update Date | 2019-11-06 |
Authorized Official Name | MR. JOHN RUSSELL (PRESIDENT & CEO) |
Authorized Official Telephone | 9206231368 |
Is Organization Subpart | Y |
Parent Organization Name | COLUMBUS COMMUNITY HOSPITAL, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
6020-42 | WI | Suppliers |
Other Name | Type Code |
---|---|
CCH Pharmacy | Other Name - Individual/Organization |
Columbus Community Hospital, Inc. | Former Legal Business Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477005544 | Prairie Ridge Health, Inc. | Clinical Nurse Specialist | 301 W Main St, Marshall, WI 53559-9799 | 2016-10-25 |
1093137416 | Prairie Ridge Health, Inc. | Surgery | 118 W Maple Ave, Beaver Dam, WI 53916-2104 | 2014-01-21 |
1912329335 | Prairie Ridge Health, Inc. | Surgery | 1511 Park Ave, Columbus, WI 53925-2401 | 2014-01-21 |
1841376183 | Prairie Ridge Health, Inc. | General Acute Care Hospital | 1515 Park Ave, Columbus, WI 53925-2402 | 2006-10-30 |
1750467098 | Prairie Ridge Health, Inc. | Medicare Defined Swing Bed Unit | 1515 Park Ave, Columbus, WI 53925-2402 | 2006-10-30 |
1154403657 | Prairie Ridge Health, Inc. | General Acute Care Hospital | 1515 Park Ave, Columbus, WI 53925-2402 | 2006-10-20 |
Street Address |
1515 PARK AVE |
City | COLUMBUS |
State | WI |
Zip Code | 53925-1618 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720050909 | Veronica S Minier | Family Medicine | 1515 Park Ave, Columbus, WI 53925-1618 | 2006-02-02 |
1649804816 | Amanda Wedderspoon | Physician Assistant | 1515 Park Ave, Columbus, WI 53925-1618 | 2020-02-26 |
1316423361 | Lauren Autumn Sommer | Dietitian, Registered | 1515 Park Ave, Columbus, WI 53925-1618 | 2018-07-12 |
1043720105 | Stacy Biesel | Registered Nurse | 1515 Park Ave, Columbus, WI 53925-1618 | 2017-10-03 |
1437668613 | Columbus Community Hospital Inc | Non-Pharmacy Dispensing Site | 1515 Park Ave, Columbus, WI 53925-1618 | 2017-09-20 |
1962930719 | Rachel E Selm | Dietitian, Registered | 1515 Park Ave, Columbus, WI 53925-1618 | 2017-05-24 |
1598210247 | Stacey Depies | Physical Therapist | 1515 Park Ave, Columbus, WI 53925-1618 | 2016-08-23 |
1639623689 | Kimberly Schoenberger | Physical Therapist | 1515 Park Ave, Columbus, WI 53925-1618 | 2016-08-08 |
1942651955 | Asghar Marwat | Internal Medicine | 1515 Park Ave, Columbus, WI 53925-1618 | 2016-06-30 |
1194182907 | Lori Lawrence | Physical Therapist | 1515 Park Ave, Columbus, WI 53925-1618 | 2016-01-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275833659 | Beaver Dam Community Hosptials, Inc. | Family Medicine | 1580 W James St, Columbus, WI 53925 | 2010-11-01 |
1497972749 | Droessler Chiropractic Sc | Chiropractor | 1349 Park Avenue, Columbus, WI 53925 | 2007-04-19 |
1164487328 | Drs Beck & Becker Sc | Dentist | 1505 Park Ave., Columbus, WI 53925 | 2006-04-19 |
1245864735 | Margaret Mary Frank | Pharmacist | 1500 W James St, Columbus, WI 53925 | 2020-02-24 |
1821343401 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 200 Commerce Dr, Columbus, WI 53925 | 2012-07-19 |
1184723645 | James Michael Beck | Dentist | 1505 Park Ave., Columbus, WI 53925 | 2006-09-21 |
1194824649 | William James Becker | Dentist | 1505 Park Ave., Columbus, WI 53925 | 2006-09-21 |
1225004245 | Nazi S Khan | Internal Medicine | 1511 Park Ave, Columbus, WI 53925 | 2006-02-28 |
1689756157 | Walgreen Co | Pharmacy | 1500 W James St, Columbus, WI 53925-1001 | 2006-10-20 |
1770117327 | Mohammad Hamdan | Pharmacist | 1500 W James St, Columbus, WI 53925-1001 | 2020-02-22 |
Find all providers in zip 53925 |
Taxonomy Code | 3336I0012X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Institutional Pharmacy |
A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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1033124656 | Laurelpharm Oh Inc | Pharmacy | 400 Lazelle Rd, Ste 10, Columbus, OH 43240-2077 | 2006-07-30 |
1043767502 | Virtus Ohio Pharmacy LLC | Pharmacy | 301 Obetz Rd, Pharmacy Department, Columbus, OH 43207-4036 | 2016-09-01 |
1043507189 | Osu Veterinary Teaching Hospital | Pharmacy | 601 Vernon L Tharp St, Room 1141, Columbus, OH 43210-4007 | 2011-07-08 |
1902116973 | Ohio Hospital for Psychiatry | Pharmacy | 880 Greenlawn Ave, Attn: Pharmacy, Columbus, OH 43223-2616 | 2010-10-08 |
1265667422 | Department of Behavioral Health and Developmental Disabilities | Pharmacy | 3000 Schatulga Rd, Columbus, GA 31907-3117 | 2009-05-18 |
1043421928 | Medical Center Inc | Pharmacy | 710 Center St, Columbus, GA 31901-1527 | 2007-05-24 |
1497963045 | West Central Georgia Regional Hospital | Pharmacy | 3000 Schatulga Rd, Columbus, GA 31907-3117 | 2007-05-18 |
NPI | Name | Taxonomy | Address | Enumeration |
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1730627894 | Community Memorial Hospital of Menomonee Falls Inc | Pharmacy | N86w12999 Nightingale Way, Menomonee Falls, WI 53051-2102 | 2017-02-08 |
1336394717 | Bhs Central Pharmacy | Pharmacy | 208 S West St, Waupun, WI 53963-1629 | 2008-11-26 |
1932595972 | County of Milwaukee | Pharmacy | 9455 W Watertown Plank Rd, Milwaukee, WI 53226-3559 | 2015-04-07 |
1538317441 | Richland Hospital | Pharmacy | 333 E 2nd St, Richland Center, WI 53581-1914 | 2008-09-04 |
1902062540 | The Monroe Clinic, Inc. | Pharmacy | 515 22nd Ave, Monroe, WI 53566-1569 | 2008-08-04 |
1265562136 | Aspirus Wausau Hospital, Inc | Pharmacy | 333 Pine Ridge Blvd, Wausau, WI 54401-4120 | 2007-03-07 |
1174658926 | Rusk County Memorial Hospital Pharmacy | Pharmacy | 900 College Ave W, Ladysmith, WI 54848-2116 | 2007-02-22 |
1790831576 | Beloit Memorial Hospital | Pharmacy | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2007-01-26 |
1134286537 | Tri-county Memorial Hospital Inc | Pharmacy | 18601 Lincoln St, Whitehall, WI 54773-8605 | 2007-01-03 |
1407911530 | Meriter Hospital Pharmacy | Pharmacy | 202 S Park St, Madison, WI 53715-1507 | 2006-12-27 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.