PRAIRIE RIDGE HEALTH, INC.


Address: 1515 Park Ave, Columbus, WI 53925-1618
Phone: 9206232200

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).

Provider Overview

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.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336I0012X Pharmacy
Specialization: Institutional Pharmacy
6020-42 WI Suppliers

Other Provider/Organization Names

Other Name Type Code
CCH Pharmacy Other Name - Individual/Organization
Columbus Community Hospital, Inc. Former Legal Business Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 1515 PARK AVE
City COLUMBUS
State WI
Zip Code 53925-1618

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 3336I0012X
Grouping Suppliers
Classification Pharmacy
Specialization Institutional Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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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Competitor

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City COLUMBUS
Zip Code 53925

Improve Information

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Dataset Information

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.

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