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COMMUNITY MEMORIAL HOSPITAL NPI 1407186141


NPI Information

NPI: 1407186141
Provider Name: COMMUNITY MEMORIAL HOSPITAL

Other Name: CMH PRIMARY CARE CLINIC, REMOTE DISPENSING REGISTRATION

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
340 N GREEN BAY AVE
GILLETT, WI
ZIP 54124
Phone: (920) 855-2823
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COMMUNITY MEMORIAL HOSPITAL is a non pharmacy dispensing site in Gillett, WI. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) COMMUNITY MEMORIAL HOSPITAL NPI is 1407186141. The provider is registered as an organization entity type.
The provider Other Name Is Cmh Primary Care Clinic, Remote Dispensing Registration.

The provider's business location address is:

340 N GREEN BAY AVE
GILLETT, WI
ZIP 54124-325
Phone: (920) 855-2823
Fax: (920) 855-6343

The provider's authorized official is Jason E Knox .
The authorized official title is Pharmacy Manager and has the following contact phone number (920) 846-3444.

The enumeration date for this NPI number is 12/31/2009 and was last updated on 3/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332900000XNon-Pharmacy Dispensing SiteYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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