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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