Community Medical Center Of Green Lake, Llc in Green Lake - Family Medicine
Community Medical Center Of Green Lake, Llc - NPI 1568622280
Community Medical Center Of Green Lake, Llc is a Family Medicine in Green Lake, Wisconsin. Community Medical Center Of Green Lake, Llc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Community Medical Center Of Green Lake, Llc is 1568622280. The last update date is 2014-05-02.
Community Medical Center Of Green Lake, Llc's current location address is 670 County Road A, Green Lake, Wisconsin. You can contact this provider via phone number 9202940100 and fax number 9202940123. The mailing address for Community Medical Center Of Green Lake, Llc is 670 County Road A, Green Lake, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Community Medical Center Of Green Lake, Llc |
|---|---|
| Address | 670 County Road A, Green Lake, Wisconsin |
| Phone Number | 9202940100 |
| Fax Number | 9202940123 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FINA |
|---|---|
| Authorized Official Name | Krystowiak Thomas |
| Telephone Number | 9203611313 |
NPI Number Detail
| NPI Number | 1568622280 |
|---|---|
| Provider Enumeration Date | 2008-06-16 |
| Last Updated Date | 2014-05-02 |
Provider Mailing Address Detail
| Address | 670 County Road A |
|---|---|
| City | Green Lake |
| State | Wisconsin (WI) |
| Post Code | 54941 |
| Phone Number | 9202940100 |
| Fax Number | 9202940123 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 44378 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 21329400 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Community Medical Center Of Green Lake, Llc by the Centers for Medicare & Medicaid Services?
The Community Medical Center Of Green Lake, Llc has been assigned the NPI (National Provider Identifier) 1568622280 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Community Medical Center Of Green Lake, Llc?
The Community Medical Center Of Green Lake, Llc is situated at 670 County Road A, in the city of Green Lake, state of WI, with the zip code 54941.
What is Community Medical Center Of Green Lake, Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Community Medical Center Of Green Lake, Llc is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
When did Community Medical Center Of Green Lake, Llc receive its 1568622280 assignment?
The Community Medical Center Of Green Lake, Llc was assigned its 1568622280 on 2008-06-16, which is the date when this unique identifier was issued to the organization.
When was the information related to Community Medical Center Of Green Lake, Llc most recently updated or refreshed?
The details pertaining to the Community Medical Center Of Green Lake, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-05-02.