| Chn Medical Center - Montello | |
|
215 Church St Montello WI 53949-9763 | |
| (608) 297-2626 | |
| (608) 297-9351 |
| Full Name | Chn Medical Center - Montello |
|---|---|
| Speciality | Family Medicine |
| Location | 215 Church St, Montello, Wisconsin |
| Authorized Official Name and Position | Jayne Plagenz (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 9203615341 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chn Medical Center - Montello 215 Church St Montello WI 53949-9763 Ph: (608) 297-2626 | Chn Medical Center - Montello 215 Church St Montello WI 53949-9763 Ph: (608) 297-2626 |
| NPI Number | 1578829545 |
|---|---|
| Provider Enumeration Date | 04/04/2012 |
| Last Update Date | 04/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578829545 | NPI | - | NPPES |
| 11011000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Tender Heart Adult Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 361 Doty St, Montello, WI 53949 Phone: 920-948-3118 |