Organization · Type 2 NPI
CMH Mountain Primary Care Clinic
Non-Pharmacy Dispensing Site · Mountain, WI
NPI number
1407801236
Active
Practice location
13435 Weller Rd
Mountain, WI 54149-9482
Fax (715) 276-1800
Mailing address
855 S Main St
Oconto Falls, WI 54154-1241
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | 23967020 (WI) |
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.)
Other non-pharmacy dispensing site providers in Mountain
About NPI 1407801236
CMH Mountain Primary Care Clinic's National Provider Identifier is 1407801236, issued on May 23, 2006. 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 12, 2008.