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Organization

LA CLINICA DE LOS CAMPESINOS, INC

Active
Parent organization
LA CLINICA DE LOS CAMPESINOS, INC
Other names
Noble Community Clinics Pharmacy
Organization subpart
Yes

Provider details

NPI number
Legal business name
LA CLINICA DE LOS CAMPESINOS, INC
Authorized official
ERIN LAMORE (ENROLLMENT AND CONTRACT SPECIALIST)
(920) 787-9459
Entity
Organization

Contact information

Practice address
2501 MAIN ST, STEVENS POINT, WI 54481-4000
(920) 647-8126
(920) 647-8133
Mailing address
PO BOX 1440, WAUTOMA, WI 54982-1440
(920) 787-5514
(920) 787-4737

Taxonomy

Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100084424
WI
05
100237113
WI
Enumeration date
10/14/2022
Last updated
11/20/2025
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