Community Health Network Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20430 Issued in WI

Legal business name

COMMUNITY HEALTH NETWORK INC

Doing business as

CHN Medical Center Ripon

Practice address

1080 W Fond Du Lac St
Ripon, WI 54971-9286

Phone

(920) 748-7000

Fax

(920) 748-7236

NPI assigned

Mar 16, 2011

Last updated

Jun 12, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Steven Ruedinger

Title

Vice President

Phone

(920) 361-5988

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CHN Medical Center Ripon Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul D Nelsen, MD

  • Family Medicine Physician
  • Appleton, WI
  • NPI 1699767301
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1003115064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "RIPON",
            "state": "WI",
            "postal_code": "549710307",
            "telephone_number": "920-748-7000",
            "fax_number": "920-748-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 W FOND DU LAC ST",
            "city": "RIPON",
            "state": "WI",
            "postal_code": "549719286",
            "telephone_number": "920-748-7000",
            "fax_number": "920-748-7236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH NETWORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "RUEDINGER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "920-361-5988"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "20430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11011000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHN Medical Center Ripon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patrick Christopherson, PT, DPT
• City of Ripon (Ripon Guardian Ambulance Service)
• Amy Elizabeth Clarke, MPT
• Jennifer Ann Clausen, RD
• Michael J. Combs, M.D.
• Consultants Laboratory of Wisconsin, LLC
• Consultants Laboratory of Wisconsin, LLC
• Cooperleaf Management Group
• Katelynn Coughlin, LMFT
• Danielle M Covach, DO

• Family Medicine Physician in Ripon, WI
• Providers in Ripon, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.