# COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558305912
- **Authorized official:** MR. WILLIAM E BESTOR (PRESIDENT CEO)
- **Authorized official phone:** (262) 257-3701

## Contact information

- **Practice address:** W180N8085 TOWN HALL RD, MENOMONEE FALLS, WI 53051-3518
- **Practice address phone:** (262) 257-3073
- **Practice address fax:** (262) 257-2576
- **Mailing address:** W180N8085 TOWN HALL RD, MENOMONEE FALLS, WI 53051-3518
- **Mailing address phone:** (262) 257-3073
- **Mailing address fax:** (262) 257-2576

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 7630-042 | WI | Yes |

## Other

- **Enumeration date:** 06/16/2006
- **Last updated:** 07/17/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 33112900 | — | WI |