Prairie Du Chien Memorial Hospital Association Inc
Organization Active NPI Critical Access Hospital · Prairie Du Chien, WI
NPI 1710936893 · NPPES record last updated Apr 30, 2026
Key facts
- NPI
- 1710936893
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- License
- 1033 (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
- May 8, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Christopher Brophy
- Title
- Chief Financial Officer
- Phone
- (608) 357-2000
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 14
Practitioners 49
-
Stefan Michael Brettfeld, D.O.
-
Christopher Hull Cogbill, M.D.
-
Grzegorz T Gurda, MD, PHD
-
Jennifer King, MSN,ARNP,FNP-C
-
Sarah R Pendley, M.D.
-
Nader I Salti, MD
-
Andrew Peter Wier, PA-C, LAT
-
Gordon G Zeng, MD
-
Matthew J Budoff, M.D.
-
Kathryn Cambron, MD
-
Timothy A. Conner, M.D.
-
Oded Greenberg, M.D.
-
David S Henley, MD
-
Stephen M Jewell, CRNA
-
Kimia Khalatbari Kani, M.D.
-
Jarret Kuo, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930077896 | WI | DME Supplier - Hospital |
4981698537 | Practice locations: Prairie Du Chien, WI |
National Provider Directory
- Tax ID family
- Prairie Du Chien Memori
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 1033 | WI | Yes |
| Durable Medical Equipment & Medical Supplies | 332B00000X |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0958454 | Medicaid | IA | |
| 41652000 | Medicaid | WI |
Other names
- Crossing Rivers Health
Other providers in Prairie Du Chien, WI
- Prairie Du Chien Memorial Hospital Association Inc
- Prairie Du Chien Memorial Hospital Association Inc
- Prairie Du Chien Memorial Hospital Association Inc
- Prairie Du Chien Memorial Hospital Association Inc
- Prairie Du Chien Memorial Hospital Association Inc
- Prairie Du Chien Memorial Hospital Association Inc
- Prairie Du Chien Memorial Hospital Association, Inc.
- Prairie Du Chien Memorial Hospital Association, Inc.
- Prairie Du Chien Memorial Hospital Association, Inc.
- Prairie Du Chien Rescue Squad Inc
All providers in Prairie Du Chien, WI · Critical Access Hospital in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.