| Community Healt Network | |
|
402 Preston Ln Redgranite WI 54970-9350 | |
| (920) 566-0637 | |
| (920) 566-0638 |
| Full Name | Community Healt Network |
|---|---|
| Speciality | Family Medicine |
| Location | 402 Preston Ln, Redgranite, Wisconsin |
| Authorized Official Name and Position | Jayne Plagenz (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 9203615431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Healt Network 402 Preston Ln Redgranite WI 54970-9350 Ph: (920) 566-0637 | Community Healt Network 402 Preston Ln Redgranite WI 54970-9350 Ph: (920) 566-0637 |
| NPI Number | 1962768937 |
|---|---|
| Provider Enumeration Date | 04/04/2012 |
| Last Update Date | 04/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962768937 | NPI | - | NPPES |
| 11011000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |