Organization
LA CLINICA DE LOS CAMPESINOS, INC
Active
Other names
Noble Community Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN BENDER (ENROLLMENT AND CONTRACT SPECIALIST)
(920) 787-9459
Entity
Organization
Contact information
Practice address
2501 MAIN ST, STEVENS POINT, WI 54481-4000
(715) 254-9072
(715) 254-9106
Mailing address
PO BOX 1440, WAUTOMA, WI 54982-1440
(920) 787-5514
(920) 787-4737
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
WI
207Q00000X
Family Medicine Physician
—
WI
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100076513
—
WI
05
—
100076692
—
WI
05
—
100080272
—
WI
05
—
100084424
—
WI
05
—
100224438
—
WI
05
—
100237113
—
WI
05
—
100253468
—
WI
05
—
32955200
—
WI
Enumeration date
08/10/2005
Last updated
11/21/2025
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