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CHN MEDICAL CENTER WAUTOMA
NPI 1780973826
Family Medicine in Wautoma, WI

Active since March 29, 2011
N2934 STATE ROAD 22, WAUTOMA, WI 54982(920) 787-4613(920) 787-5433 Get Directions Write a Review

NPPES record last updated: March 29, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chn Medical Center Wautoma NPPES

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

CHN MEDICAL CENTER WAUTOMA (NPI 1780973826) is a healthcare organization registered as a family medicine in Wautoma, Wisconsin and active in the NPI registry since March 2011. The organization lists Steven Ruedinger, Vice President, as its authorized official.

NPPES Registry Identity

NPI1780973826
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOMMUNITY HEALTH NETWORK
Location AddressN2934 STATE ROAD 22Wautoma, WI 54982-5267
Mailing AddressPo Box 650Wautoma, WI 54982-0650 · (920) 787-4613 · Fax (920) 787-5433
Phone(920) 787-4613
Fax(920) 787-5433
Organization SubpartNo
Authorized OfficialSteven RuedingerVice President · (920) 361-5988
Enumeration DateMarch 29, 2011
✔ NPI 1780973826 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 · 25430
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.
N2934 STATE ROAD 22, Wautoma, WI 54982
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Other Names 1

Doing Business AsChn Medical Center Wautoma

Other Identifiers 2

Medicare PIN00416WI
Medicaid11011000WI

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

Other Providers at the Same Location NPPES 5

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

SHOPKO STORES OPERATING CO., LLC
Pharmacy (Community/Retail Pharmacy)
N2934 STATE ROAD 22
WAUTOMA, WI 54982
Waushara County (920) 429-4726
MR. ERIC FOSS RPH
Pharmacist
N2934 STATE ROAD 22
WAUTOMA, WI 54982
Waushara County (920) 787-5757
ERIKA NIZNIK PHARMD
Pharmacist
N2934 STATE ROAD 22
WAUTOMA, WI 54982
Waushara County (920) 787-5757
MRS. LAURA L BAEHNMAN APNP
Nurse Practitioner (Family)
N2934 STATE ROAD 22
WAUTOMA, WI 54982
Waushara County (920) 787-4613
JOHN P. MODRZYNSKI M.D.
Family Medicine
N2934 STATE ROAD 22
WAUTOMA, WI 54982
Waushara County (920) 787-4613

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 Health Network's NPI number?

The NPI number for Community Health Network is 1780973826. It was assigned to this organization in the NPPES registry on March 29, 2011. The provider is doing business as Chn Medical Center Wautoma.

Where is Community Health Network located?

Community Health Network is located at N2934 State Road 22, Wautoma, WI 54982. The listed phone number is (920) 787-4613.

What is Community Health Network's specialty?

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

When was this NPI record last updated?

The NPPES record for Community Health Network was last updated on March 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.