PRAIRIE RIDGE HEALTH, INC.
NPI 1477005544
Clinic/Center - Primary Care in Marshall, WI

Active since October 25, 2016CLIA 52D2123598 · Waiver
301 W MAIN ST, MARSHALL, WI 53559(920) 623-2200(920) 623-1441 Get Directions Write a Review

NPPES record last updated: August 26, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 26, 2022, Nov 6, 2019, Nov 22, 2016 and 1 more (4 updates tracked since 2016).

About Prairie Ridge Health, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRAIRIE RIDGE HEALTH, INC. (NPI 1477005544), doing business as Columbus Community Hospital, Inc., is a healthcare organization registered as a primary care in Marshall, Wisconsin and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through December 26, 2026 and lists John Russell, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1477005544
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePRAIRIE RIDGE HEALTH, INC.
Location Address301 W MAIN STMarshall, WI 53559-9799
Mailing AddressPo Box 418Marshall, WI 53559-0418 · (608) 655-8181 · Fax (608) 655-8224
Fax(920) 623-1441
Organization SubpartYesParent: Columbus Community Hospital, Inc
Authorized OfficialJohn RussellPresident & Ceo · (920) 623-1368
Enumeration DateOctober 25, 2016
Last NPPES UpdateAugust 26, 20224 updates tracked since enumeration
NPPES CertifiedAugust 26, 2022
NPI 1477005544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in WI · 21498-20
Also ListedClinical Nurse Specialist · Family HealthTaxonomy 364SF0001X · License 2985 (WI)
301 W MAIN ST, Marshall, WI 53559

Other Names 2

Former Legal Business NameColumbus Community Hospital, Inc.
Doing Business AsPrairie Ridge Health Clinic

Other Identifiers 1

Other52D2123598WI · Clia Number

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2123598

Prairie Ridge Health, Inc Dba Prairie Ridge Health Clinic · Marshall, WI
Active · expires Dec 26, 2026
CLIA Number52D2123598
Laboratory TypePhysician Office
Certificate Effective DateDecember 27, 2024
Certificate Expiration DateDecember 26, 2026
Laboratory DirectorMs. Heather Alvarez
Laboratory Phone(920) 623-1504
Laboratory LocationPrairie Ridge Health, Inc Dba Prairie Ridge Health Clinic301 W Main Street, Suite A, Marshall, WI 53559
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prairie Ridge Health, Inc.'s NPI number?

The NPI number for Prairie Ridge Health, Inc. is 1477005544. It was assigned to this organization in the NPPES registry on October 25, 2016. The provider is doing business as Prairie Ridge Health Clinic. The provider was formerly known as Columbus Community Hospital, Inc..

Where is Prairie Ridge Health, Inc. located?

Prairie Ridge Health, Inc. is located at 301 W Main St, Marshall, WI 53559. The listed phone number is (920) 623-2200.

What is Prairie Ridge Health, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Prairie Ridge Health, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2123598) is associated with this NPI, valid through December 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Prairie Ridge Health, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield, Quartz and Security Health Plan list Prairie Ridge Health, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Prairie Ridge Health, Inc. was last updated on August 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.