# COMMUNITY MEMORIAL HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** CMH Primary Care Clinic, Remote Dispensing Registration
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144550880
- **Authorized official:** MR. JASON E KNOX (PHARMACY MANAGER)
- **Authorized official phone:** (920) 846-3444

## Contact information

- **Practice address:** 14353 STATE HIGHWAY 32 64, MOUNTAIN, WI 54149-9656
- **Practice address phone:** (715) 276-1600
- **Practice address fax:** (715) 276-1800
- **Mailing address:** 14353 STATE HIGHWAY 32 64, MOUNTAIN, WI 54149-9656
- **Mailing address phone:** (715) 276-1600
- **Mailing address fax:** (715) 276-1800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 12/31/2009
- **Last updated:** 03/07/2023