Community Memorial Hospital

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

86060577 Issued in WI

Legal business name

COMMUNITY MEMORIAL HOSPITAL

Practice address

W180N8085 Town Hall Rd
Menomonee Falls, WI 53051-3518

Phone

(262) 257-3133

NPI assigned

Oct 5, 2016

Last updated

Oct 5, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Abigail Radish

Title

Clinical Dietitian

Phone

(262) 257-3133

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1184174989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W180N8085 TOWN HALL RD",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530513518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W180N8085 TOWN HALL RD",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530513518",
            "telephone_number": "262-257-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "RADISH",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_title_or_position": "CLINICAL DIETITIAN",
        "authorized_official_telephone_number": "262-257-3133"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "WI",
            "license": "86060577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy James Clark, PHARMD
• Heather N Clarson, FNP
• Ross Clay, MD
• Clinical Psychology Associates
• Community Birth Group
• Community Memorial Hospital of Menomonee Falls Inc (Froedtert Menomonee Falls Hospital)
• Community Memorial Hospital of Menomonee Falls Inc (Froedtert & the Medical College of Wisconsin Home Infusion)
• Community Memorial Hospital of Menomonee Falls, Inc (Community Memorial Hospital Family Medicine Clinic)
• Community Memorial Hospital of Menomonee Falls, Inc. (Froedtert and MCW Specialty Pharmacy)
• Community Memorial Hospital of Menomonee Falls, Inc.

• General Acute Care Hospital in Menomonee Falls, WI
• Providers in Menomonee Falls, WI by specialty
• General Acute Care Hospital in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.