Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Church Health Services, Inc

Organization Family Medicine Physician · NPI 1922468891

Church Health Services, Inc provides Family Medicine Physician services in Beaver Dam, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2016.

Licensed in
WI
In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

115 N Center St
Beaver Dam, WI 53916-2119 Not confirmed with CMS for 10 years — call before visiting
Phone: (920) 887-1766
Fax: (920) 887-2322
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 27426020 (WI)

Record details

NPI number1922468891
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thea O'Connor — Accounting And Finance Coordinator · (920) 887-1766
NPI enumeratedMarch 4, 2016
Last updated in NPPESMarch 4, 2016
Mailing address115 N Center St, Beaver Dam, WI 53916-2119

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