Family Medicine
COMMUNITY MEDICAL CENTER OF GREEN LAKE, LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1568622280 · enumerated 2008-06-16 · record updated 2014-05-02. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mr. THOMAS KRYSTOWIAK, Chief Financial Officer · (920) 361-1313
Other names: CHN MEDICAL CENTER GREEN LAKE
Addresses and phones
- Mailing address 670 COUNTY ROAD A, GREEN LAKE, WI, 54941 (920) 294-0100 Fax (920) 294-0123 Google Maps Apple Maps OpenStreetMap
- Practice location 670 COUNTY ROAD A, GREEN LAKE, WI, 54941 (920) 294-0100 Fax (920) 294-0123 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · Primary · License 44378 WI
In this directory
Locations and evidence
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Practice location
GREEN LAKE, WI, 54941
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.