Prairie Health LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4643012 Issued in WI

Legal business name

PRAIRIE HEALTH LLC

Practice address

1502 S Marquette Rd
Prairie Du Chien, WI 53821-2820

Phone

(319) 939-5310

NPI assigned

Oct 1, 2010

Last updated

Oct 1, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joshua M Coughlin, D.C.NPI 1528394186

Title

President

Phone

(319) 939-5310

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joshua Michael Coughlin, D.C.

  • Chiropractor
  • Prairie Du Chien, WI
  • NPI 1528394186
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285891200000",
    "number": "1184933624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 S MARQUETTE RD",
            "city": "PRAIRIE DU CHIEN",
            "state": "WI",
            "postal_code": "538212820",
            "telephone_number": "319-939-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 S MARQUETTE RD",
            "city": "PRAIRIE DU CHIEN",
            "state": "WI",
            "postal_code": "538212820",
            "telephone_number": "319-939-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-01",
        "last_updated": "2010-10-01",
        "status": "A",
        "authorized_official_last_name": "COUGHLIN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-939-5310",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4643012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prairie Du Chien Memorial Hospital Association Inc (Crossing Rivers Health)
• Prairie Du Chien Memorial Hospital Association, Inc. (Crossing Rivers Health)
• Prairie Du Chien Memorial Hospital Association, Inc.
• Prairie Du Chien Memorial Hospital Association, Inc. (Crossing Rivers Health Hospice)
• Prairie Du Chien Rescue Squad Inc
• Prairie Medical LLC
• Prairie Medicine LTD
• Prairie Nursing Facility LLC (Prairie Maison)
• Bernard S Pratte, D.D.S.
• Maranda Record, M.D.

• Chiropractor in Prairie Du Chien, WI
• Providers in Prairie Du Chien, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.