Community Memorial Hospital

Organization Active NPI Non-Pharmacy Dispensing Site · Mountain, WI

NPI 1144550880 · NPPES record last updated Mar 7, 2023

Key facts

NPI
1144550880
Entity type
Organization (NPI type 2)
Primary specialty
Non-Pharmacy Dispensing Site 332900000X
Legal business name
COMMUNITY MEMORIAL HOSPITAL
Practice address
14353 State Highway 32 64
Mountain, WI 54149-9656
Phone
(715) 276-1600
Fax
(715) 276-1800
NPI assigned
Dec 31, 2009
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 15

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Community Memorial Hospital Incorporated (16 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Yes

Addresses

Primary practice location

14353 State Highway 32 64
Mountain, WI 54149-9656

Mailing address

14353 State Highway 32 64
Mountain, WI 54149-9656
Phone (715) 276-1600

Other names

  • CMH Primary Care Clinic, Remote Dispensing Registration Other name

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address community_memorial_hospital_transitions_of_care2201223@ewd.direct.hshs.org Direct

Other providers in Mountain, WI

All providers in Mountain, WI · Non-Pharmacy Dispensing Site in Wisconsin

Sources for this page

Verify at the official NPI Registry.