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Cmh Mountain Primary Care Clinic
Non-Pharmacy Dispensing Site in Mountain, Wisconsin
NPI 1407801236

Cmh Mountain Primary Care Clinic is a Non-Pharmacy Dispensing Site based in Oconto Falls, WI. Cmh Mountain Primary Care Clinic practices in Mountain, WI. The NPI Number for Cmh Mountain Primary Care Clinic is 1407801236 and holds a License No. 23967020 (Wisconsin).

The current practice location address for Cmh Mountain Primary Care Clinic is 13435 Weller Rd, Mountain, WI and can be reached out via phone at 715-276-1600 and via fax at 715-276-1800.

Location: 13435 Weller Rd, Mountain, WI, 54154-1241
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407801236
Provider Name
Cmh Mountain Primary Care Clinic
Credential
Provider Entity Type
Organization
Address
13435 Weller Rd, Mountain, WI, 54154-1241
Phone Number
715-276-1600
Fax Number
715-276-1800
Provider Enumeration Date
05/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
31756500 05 WI
5128904 01 OTHER ID NUMBER-COMMERCIAL NUMBER
5128904 01 OTHER ID NUMBER
institution
Provider Business Practice Location Address Details
Address
13435 Weller Rd
City
Mountain
State
Wisconsin
Zip
54149-9482
Phone Number
715-276-1600
Fax Number
715-276-1800
person
Provider Business Mailing Address Details
Address
13435 Weller Rd
City
Mountain
State
Wisconsin
Zip
54149-9482
Phone Number
715-276-1600
Fax Number
715-276-1800
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
23967020 (Wisconsin)
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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