NPIMap

Organization Active NPI

Ripon Medical Center

  • Durable Medical Equipment & Medical Supplies
  • Waupun, WI
National Provider Identifier
1598081846
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
RIPON MEDICAL CENTER
Practice address
1001 W Main St
Waupun, WI 53963-1601
Phone
(920) 324-9301
NPI assigned
Apr 12, 2010
Organization subpart
Yes
Parent organization
RIPON MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 14, 2011

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

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

1001 W Main St
Waupun, WI 53963-1601

Mailing address

1001 W Main St
Waupun, WI 53963-1601
Phone (920) 324-9301

National Provider Directory

National Provider Directory
Part of
Ripon Memorial Hospital

Ownership & related parties

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.

NPI Registry JSON

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1598081846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W MAIN ST",
            "city": "WAUPUN",
            "state": "WI",
            "postal_code": "539631601",
            "telephone_number": "920-324-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W MAIN ST",
            "city": "WAUPUN",
            "state": "WI",
            "postal_code": "539631601",
            "telephone_number": "920-324-9301"
        }
    ],
    "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": "2011-02-14",
        "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": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waupun, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.