Healthcare Provider Details

I. General information

NPI: 1053362624
Provider Name (Legal Business Name): RIPON MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 01/30/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

845 PARKSIDE STREET
RIPON WI
54971-8505
US

IV. Provider business mailing address

845 PARKSIDE STREET
RIPON WI
54971-8505
US

V. Phone/Fax

Practice location:
  • Phone: 920-748-3101
  • Fax:
Mailing address:
  • Phone: 920-748-3101
  • Fax: 920-748-0452

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH MINERATH
Title or Position: SYSTEM DIRECTOR, GOV'T REIMB.
Credential:
Phone: 608-445-2411