D/B/A Breast Surgery Experts Of Northeast Wisconsin Llc

LBN: Community Memorial Hospital, Incorporated
D/B/A Breast Surgery Experts Of Northeast Wisconsin Llc is an health care organization with primary practice located at 1726 Shawano Ave , Green Bay WI 54303-3216. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Community Memorial Hospital, Incorporated can be contacted via phone (920) 360-3787, or through Degroot, Daniel via phone (920) 846-3444.

Contact Information

Primary practice address
1726 Shawano Ave Green Bay WI 54303-3216
Fax: (888) 848-0225
Website:
Authorized official contact:
Name: Degroot, Daniel

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 39597-20 Wisconsin

Profile Details

NPI number 1093096224
LBN Legal business name Community Memorial Hospital, Incorporated
DBA Doing business as D/B/A Breast Surgery Experts Of Northeast Wisconsin Llc
Authorized official Degroot, Daniel
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 1st, 2011
Last updated Jan 13th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093096224 NPPES
Wisconsin Other 1851477913 CMH NPI
Wisconsin Other 1750302089 CMH NPI
Wisconsin Other WI2552 CMH NPI

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