NPIMap

Organization Active NPI

Community Health Network

  • Family Medicine Physician
  • Markesan, WI
National Provider Identifier
1265798235
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COMMUNITY HEALTH NETWORK
Practice address
340 Enterprise Dr
Markesan, WI 53946-8683
Phone
(920) 398-2321
Fax
(920) 398-2322
NPI assigned
Apr 4, 2012
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Jayne Plagenz
Title
Director of Operations
Phone
(920) 361-5341

Corporate family (same tax ID) 11

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

National Provider Directory
Tax ID family
CHN Lifeskills (12 organizations share this tax ID)

Locations

340 Enterprise Dr
Markesan, WI 53946
Phone (920) 361-5341

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

340 Enterprise Dr
Markesan, WI 53946-8683

Mailing address

340 Enterprise Dr
Markesan, WI 53946-8683
Phone (920) 398-2321

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
11011000MedicaidWI

Other names 1

NPPES NPI Registry
  • CHN Medical Center - Markesan Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 4, 2012.

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1265798235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 ENTERPRISE DR",
            "city": "MARKESAN",
            "state": "WI",
            "postal_code": "539468683",
            "telephone_number": "920-398-2321",
            "fax_number": "920-398-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 ENTERPRISE DR",
            "city": "MARKESAN",
            "state": "WI",
            "postal_code": "539468683",
            "telephone_number": "920-398-2321",
            "fax_number": "920-398-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-04",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "PLAGENZ",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "920-361-5341"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11011000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHN Medical Center - Markesan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Markesan, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.