NPIMap

Organization Active NPI

Prairie Du Chien Memorial Hospital Association Inc

  • Clinical Medical Laboratory
  • Prairie Du Chien, WI
National Provider Identifier
1295883247
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
52D0689869 Issued in WI
Legal business name
PRAIRIE DU CHIEN MEMORIAL HOSPITAL ASSOCIATION INC
Practice address
37868 US Highway 18
Prairie Du Chien, WI 53821-8416
Phone
(608) 357-2000
Fax
(608) 357-2254
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
Mr. Christopher Brophy
Title
Ceo
Phone
(608) 357-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 52D0689869 WI Primary

Addresses

Primary practice location

37868 US Highway 18
Prairie Du Chien, WI 53821-8416

Mailing address

37868 US Highway 18
Prairie Du Chien, WI 53821-8416
Phone (608) 357-2000

Other identifiers 1

IdentifierTypeStateIssuer
32947700MedicaidWI

Other names 1

  • CROSSING RIVERS HEALTH REFERENCE LAB Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040414001308 WI Part B Supplier - Clinic/Group Practice 4981698537 Receives reassigned benefits from 233 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Prairie Du Chien, WI

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D0689869Prairie Du Chien Memorial Hospital Association Inc37868 US Hwy 18, Prairie Du Chien, WI 53821AccreditationAug 16, 2027
52D1084602Crossing Rivers Health Clinic37868 US Highway 18, Prairie Du Chien, WI 53821Certificate of waiverNov 9, 2026

National Provider Directory

National Provider Directory
Tax ID family
Prairie Du Chien Memori15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1295883247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37868 US HIGHWAY 18",
            "city": "PRAIRIE DU CHIEN",
            "state": "WI",
            "postal_code": "538218416",
            "telephone_number": "608-357-2000",
            "fax_number": "608-357-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37868 US HIGHWAY 18",
            "city": "PRAIRIE DU CHIEN",
            "state": "WI",
            "postal_code": "538218416",
            "telephone_number": "608-357-2000",
            "fax_number": "608-357-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE DU CHIEN MEMORIAL HOSPITAL ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "BROPHY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "608-357-2000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WI",
            "license": "52D0689869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32947700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CROSSING RIVERS HEALTH REFERENCE LAB",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CROSSING RIVERS HEALTH REFERENCE LAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prairie Du Chien, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.