| Community Health Network | |
|
W832 State Road 91 Ste 3 Berlin WI 54923-8821 | |
| (920) 361-6400 | |
| (920) 361-6407 |
| Full Name | Community Health Network |
|---|---|
| Speciality | Family Medicine |
| Location | W832 State Road 91, Berlin, Wisconsin |
| Authorized Official Name and Position | Steven Ruedinger (VICE PRESIDENT) |
| Authorized Official Contact | 9203615988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Network W832 State Road 91 Ste 3 Berlin WI 54923-8821 Ph: (920) 361-6400 | Community Health Network W832 State Road 91 Ste 3 Berlin WI 54923-8821 Ph: (920) 361-6400 |
| NPI Number | 1134428105 |
|---|---|
| Provider Enumeration Date | 03/16/2011 |
| Last Update Date | 07/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134428105 | NPI | - | NPPES |
| 11011000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 45822 (Wisconsin) | Primary |