Noble Community Clinics Wautoma Pharmacy

LBN: La Clinica De Los Campesinos, Inc
Noble Community Clinics Wautoma Pharmacy is an health care organization with primary practice located at 400 S Townline Rd , Wautoma WI 54982-6922. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. La Clinica De Los Campesinos, Inc can be contacted via phone (920) 787-5514, or through Lamore, Erin via phone (920) 787-9459.

Contact Information

Primary practice address
400 S Townline Rd Wautoma WI 54982-6922
Phone: (920) 787-5514
Fax: (920) 787-4737
Website:
Map and Directions
Authorized official contact:
Name: Lamore, Erin
Phone: (920) 787-9459

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1952027609
LBN Legal business name La Clinica De Los Campesinos, Inc
DBA Doing business as Noble Community Clinics Wautoma Pharmacy
Authorized official Lamore, Erin
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 14th, 2022
Last updated Jun 4th, 2024 - about last year

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 1952027609 NPPES
Wisconsin MEDICAID 10022448
Wisconsin MEDICAID 32955200

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