Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Prairie Ridge Health, Inc

Organization Orthopaedic Surgery Physician · NPI 1093137416

Prairie Ridge Health, Inc is an Orthopaedic Surgery Physician in Beaver Dam, Wisconsin. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

134 Corporate Dr
Beaver Dam, WI 53916-3116
Phone: (920) 356-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1093137416
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPrairie Ridge Health, Inc
Authorized official John Russell — President & Ceo · (920) 623-1368
Other names Columbus Community Hospital, Inc.
NPI enumeratedJanuary 21, 2014
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026
Mailing address1515 Park Ave, Columbus, WI 53925-2402

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