Organization · Type 2 NPI

Community Memorial Hospital

Non-Pharmacy Dispensing Site · Gillett, WI

NPI number 1407186141 Active

Practice location

340 N Green Bay Ave
Gillett, WI 54124-9325

Fax (920) 855-6343

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.)

5 other providers at this address

NPI record

NPI: 1407186141
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

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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 1407186141

Community Memorial Hospital's National Provider Identifier is 1407186141, issued on Dec 31, 2009. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Gillett, WI. The record was last updated on Mar 7, 2023.