| NPI | 1912329335 |
|---|---|
| Former Legal Business Name | COLUMBUS COMMUNITY HOSPITAL, INC. |
| Doing Business As | PRAIRIE RIDGE HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOHN RUSSELL President & CEO 920-623-1368 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2019-11-06 |