Organization
CMH MOUNTAIN PRIMARY CARE CLINIC
Active
Other names
DOUGLAS C GREMBAN MD
Organization subpart
No
Provider details
NPI number
Authorized official
GREG HENN (CLINIC MANAGER)
(920) 846-3440
Entity
Organization
Contact information
Practice address
13435 WELLER RD, MOUNTAIN, WI 54149-9482
(715) 276-1600
(715) 276-1800
Mailing address
855 S MAIN ST, OCONTO FALLS, WI 54154-1241
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
23967020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31756500
—
WI
01
—
5128904
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
05/23/2006
Last updated
03/12/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us