Community Memorial Hospital
Community Memorial Hospital is a health care provider in Gillett, WI. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 340 N Green Bay Ave, Gillett, WI 54124-9325, US |
|Practice Location Phone||920-855-2823|
|Practice Location Fax||920-855-6343|
|Legal Business Name||COMMUNITY MEMORIAL HOSPITAL|
|Other Organization Name||CMH PRIMARY CARE CLINIC, REMOTE DISPENSING REGISTRATION|
|Other Organization Name Type||An Other Name|
|Enumeration Date ? ||Dec 31, 2009|
|Last Update Date ? ||Dec 31, 2009|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Community Memorial Hospital
|Specialty||Provider Type||Specialization||License||License State|
|Non-Pharmacy Dispensing Site||Suppliers|| |
Legacy Provider IDs of Community Memorial Hospital
|Provider Id||Issuer State||Issuer Type||Issuer|
|FC1283744||Other||DEA REGISTRATION NUMBER|
Authorized Official of Community Memorial Hospital
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Community Memorial Hospital's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official ||Mr. Jason E Knox|
|Authorized Official Title/Position||PHARMACY MANAGER|
|Authorized Official Phone Number||920-846-3444|