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Contact Information

COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS INC
4805 S MOORLAND RD RM G0502A
NEW BERLIN, WI53151-7401
 Phone: 262-798-7386
 Fax: 262-798-7320
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS INC

NPI # 1063874824
LBN Legal business name COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS INC
Authorized official KEVIN PERHACH - (BUSINESS MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/22/2016
Last updated 07/28/2016 - About 10 years ago
Identifiers
WI License # 9396-42
WI Medicaid 1063874824
Other 2158809 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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