CHN MEDICAL CENTER GREEN LAKE
NPI 1568622280
Family Medicine in Green Lake, WI

Q: What is Community Medical Center Of Green Lake, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 16, 2008

670 COUNTY ROAD A, GREEN LAKE, WI 54941(920) 294-0100(920) 294-0123 Get Directions Write a Review

NPPES record last updated: May 2, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Chn Medical Center Green Lake NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHN MEDICAL CENTER GREEN LAKE (NPI 1568622280) is a healthcare organization registered as a family medicine in Green Lake, Wisconsin and active in the NPI registry since June 2008. The organization lists Thomas Krystowiak, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1568622280

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCOMMUNITY MEDICAL CENTER OF GREEN LAKE, LLC

Location Address670 COUNTY ROAD AGreen Lake, WI 54941

Mailing Address670 County Road AGreen Lake, WI 54941 · (920) 294-0100 · Fax (920) 294-0123

Phone(920) 294-0100

Fax(920) 294-0123

Organization SubpartNo

Authorized OfficialThomas KrystowiakChief Financial Officer · (920) 361-1313

Enumeration DateJune 16, 2008

Last NPPES UpdateMay 2, 2014

✔ NPI 1568622280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WI · 44378

Definition

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.

670 COUNTY ROAD A, Green Lake, WI 54941

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Other Names 1

Doing Business AsChn Medical Center Green Lake

Other Identifiers 3

Medicaid21329400WI

Medicare NSC6526320001WI

Medicare PINWI1031WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Security Health Plan.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SANDRA SCHWOERER MSN, FNP

Nurse Practitioner (Family)

670 COUNTY ROAD A
GREEN LAKE, WI 54941

Green Lake County (920) 294-0100

COURTNEY MCCLINTIC MD

Family Medicine

670 COUNTY ROAD A
GREEN LAKE, WI 54941

Green Lake County (920) 294-0100

JARED M. KOHLENBERG D.O.

Family Medicine

670 COUNTY ROAD A
GREEN LAKE, WI 54941

Green Lake County (920) 294-0100

TRINA HERNANDEZ APNP

Nurse Practitioner (Family)

670 COUNTY ROAD A
GREEN LAKE, WI 54941

Green Lake County (920) 294-0100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Community Medical Center Of Green Lake, LLC's NPI number?

The NPI number for Community Medical Center Of Green Lake, LLC is 1568622280. It was assigned to this organization in the NPPES registry on June 16, 2008. The provider is doing business as Chn Medical Center Green Lake.

Where is Community Medical Center Of Green Lake, LLC located?

Community Medical Center Of Green Lake, LLC is located at 670 County Road A, Green Lake, WI 54941. The listed phone number is (920) 294-0100.

What is Community Medical Center Of Green Lake, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Community Medical Center Of Green Lake, LLC accept?

Health plans from Security Health Plan list Community Medical Center Of Green Lake, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Community Medical Center Of Green Lake, LLC was last updated on May 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.