COMMUNITY MEDICAL CENTER OF GREEN LAKE LLC NPI 1568622280

NPI Information

COMMUNITY MEDICAL CENTER OF GREEN LAKE, LLC is a family medicine in Green Lake, WI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. COMMUNITY MEDICAL CENTER OF GREEN LAKE, LLC NPI is 1568622280. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Chn Medical Center Green Lake.

The provider's business location address is:

670 COUNTY ROAD A
GREEN LAKE, WI
ZIP 54941
Phone: (920) 294-0100
Fax: (920) 294-0123

The provider's authorized official is Thomas Krystowiak .
The authorized official title is Chief Financial Officer and has the following contact phone number (920) 361-1313.

The enumeration date for this NPI number is 6/16/2008 and was last updated on 5/2/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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