| Community Health Network | |
|
N2934 State Road 22 Wautoma WI 54982-5267 | |
| (920) 787-4613 | |
| (920) 787-5433 |
| Full Name | Community Health Network |
|---|---|
| Speciality | Family Medicine |
| Location | N2934 State Road 22, Wautoma, 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 Po Box 650 Wautoma WI 54982-0650 Ph: (920) 787-4613 | Community Health Network N2934 State Road 22 Wautoma WI 54982-5267 Ph: (920) 787-4613 |
| NPI Number | 1780973826 |
|---|---|
| Provider Enumeration Date | 03/29/2011 |
| Last Update Date | 03/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780973826 | NPI | - | NPPES |
| 11011000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25430 (Wisconsin) | Primary |
Horizon Healthcare, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 719 W Main St, Wautoma, WI 54982 Phone: 414-376-5577 |