Organization
COMMUNITY MEMORIAL HOSPITAL, INCORPORATED
Active
Parent organization
COMMUNITY MEMORIAL HOSPITAL, INCORPORATED
Other names
CMH Physical Therapy - Oconto
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY MEMORIAL HOSPITAL, INCORPORATED
Authorized official
DANIEL DEGROOT (CEO)
(920) 846-3444
Entity
Organization
Contact information
Practice address
103 1ST ST, OCONTO, WI 54153-1117
(920) 835-1144
(920) 835-1145
Mailing address
855 S MAIN ST, OCONTO FALLS, WI 54154-1241
(920) 846-3444
(920) 846-0250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11014110
—
WI
01
—
1851477913
CMH NPI
—
Enumeration date
06/11/2010
Last updated
09/28/2011
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