Organization
COMMUNITY HEALTH NETWORK
Active
Other names
CHN Medical Center - Montello
Organization subpart
No
Provider details
NPI number
Authorized official
JAYNE PLAGENZ (DIRECTOR OF OPERATIONS)
(920) 361-5341
Entity
Organization
Contact information
Practice address
215 CHURCH ST, MONTELLO, WI 53949-9763
(608) 297-2626
(608) 297-9351
Mailing address
215 CHURCH ST, MONTELLO, WI 53949-9763
(608) 297-2626
(608) 297-9351
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11011000
—
WI
Enumeration date
04/04/2012
Last updated
04/04/2012
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