Ripon Medical Center

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

RIPON MEDICAL CENTER

Practice address

322 Broadway St
Berlin, WI 54923-1706

Phone

(920) 361-3036

NPI assigned

Apr 12, 2010

Last updated

Apr 5, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

RIPON MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Kimry Johnsrud

Title

Interim Coo

Phone

(920) 748-9190

Specialties & licenses 2

Addresses

Part of

Ripon Medical Center in

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Ripon Medical Center Inc

  dba SSM Health Ripon Community Hospital

  • Critical Access Hospital
  • Ripon, WI
  • NPI 1053362624
  NPPES parent name

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1396061644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 BROADWAY ST",
            "city": "BERLIN",
            "state": "WI",
            "postal_code": "549231706",
            "telephone_number": "920-361-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 BROADWAY ST",
            "city": "BERLIN",
            "state": "WI",
            "postal_code": "549231706",
            "telephone_number": "920-361-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIPON MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIPON MEDICAL CENTER",
        "enumeration_date": "2010-04-12",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSRUD",
        "authorized_official_first_name": "KIMRY",
        "authorized_official_title_or_position": "INTERIM COO",
        "authorized_official_telephone_number": "920-748-9190"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ty Rebedew
• Sherry Lynn Reinsbach, OTA
• Brian Resop
• Daniel J Resop, M.D.
• Lynn Annette Ringenoldus, APRN-NP
• Ripon Medical Center
• Rivocare LLC
• Rogers and Nelson Surgical Associates, S.C.
• Barry L Rogers, MD
• Tammi L Sawallish, OD

• Durable Medical Equipment & Medical Supplies in Berlin, WI
• Providers in Berlin, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.