NPIMap

Organization Active NPI

La Clinica de Los Campesinos, Inc

  • Community/Retail Pharmacy
  • Manitowoc, WI
National Provider Identifier
1396690285
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LA CLINICA DE LOS CAMPESINOS, INC
Practice address
2719 Calumet Ave
Manitowoc, WI 54220-5546
Phone
(920) 395-2980
Fax
(920) 783-6804
NPI assigned
Mar 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Authorized official

Name
Erin Bender
Title
Enrollment and Contract Specialist
Phone
(920) 787-9459

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2719 Calumet Ave
Manitowoc, WI 54220-5546

Mailing address

PO Box 1440
Wautoma, WI 54982-1440
Phone (920) 395-2980

National Provider Directory

National Provider Directory
Tax ID family
Family Helath Medical D3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1772582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1396690285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1440",
            "city": "WAUTOMA",
            "state": "WI",
            "postal_code": "549821440",
            "telephone_number": "920-395-2980",
            "fax_number": "920-783-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 CALUMET AVE",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542205546",
            "telephone_number": "920-395-2980",
            "fax_number": "920-783-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA CLINICA DE LOS CAMPESINOS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-04",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "BENDER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "ENROLLMENT AND CONTRACT SPECIALIST",
        "authorized_official_telephone_number": "920-787-9459"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manitowoc, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.