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Organization
COMMUNITY HEALTH NETWORK INC
Active
Organization
COMMUNITY HEALTH NETWORK INC
Active
Other names
CHN Medical Center Ripon
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN RUEDINGER (VICE PRESIDENT)
(920) 361-5988
Entity
Organization
Contact information
Practice address
1080 W FOND DU LAC ST, RIPON, WI 54971-9286
(920) 748-7000
(920) 748-7236
Mailing address
PO BOX 307, RIPON, WI 54971-0307
(920) 748-7000
(920) 748-7236
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20430
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11011000
—
WI
Enumeration date
03/16/2011
Last updated
06/12/2012
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