Organization · Type 2 NPI

Community Memorial Hospital

Non-Pharmacy Dispensing Site · Mountain, WI

NPI number 1144550880 Active

Practice location

14353 State Highway 32 64
Mountain, WI 54149-9656

Fax (715) 276-1800

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	None listed

Non-Pharmacy Dispensing Site: 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.)

2 other providers at this address

Other non-pharmacy dispensing site providers in Mountain

CMH Mountain Primary Care ClinicNon-Pharmacy Dispensing Site Mountain, WI NPI 1407801236

See all in Mountain →

NPI record

NPI: 1144550880
Entity type: Organization (Type 2)
Issued: Dec 31, 2009
Last updated: Mar 7, 2023
Status: Active

Other names

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CMH Primary Care Clinic, Remote Dispensing Registration · other name
CMH Primary Care Clinic, Remote Dispensing Registration · other name

Authorized official

Mr. Jason E Knox
Pharmacy Manager
(920) 846-3444

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1144550880

Community Memorial Hospital's National Provider Identifier is 1144550880, issued on Dec 31, 2009. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Mountain, WI. The record was last updated on Mar 7, 2023.