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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.

physician-icon Basic Information

Practice Location 340 N Green Bay Ave, Gillett, WI 54124-9325, US
Practice Location Phone920-855-2823
Practice Location Fax920-855-6343
Legal Business NameCOMMUNITY MEMORIAL HOSPITAL
Other Organization NameCMH PRIMARY CARE CLINIC, REMOTE DISPENSING REGISTRATION
Other Organization Name TypeAn Other Name
NPI ?1407186141
Entity TypeOrganization
Enumeration Date ? Dec 31, 2009
Last Update Date ? Dec 31, 2009
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Community Memorial Hospital

SpecialtySpecializationLicenseLicense State
Non-Pharmacy Dispensing Site

legacy-id-icon Legacy Provider IDs of Community Memorial Hospital

Provider IdIssuer StateIssuer TypeIssuer
FC1283744OtherDEA REGISTRATION NUMBER

official-icon 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/PositionPHARMACY MANAGER
Authorized Official Phone Number920-846-3444