1. Home
  2. Directory
  3. Wisconsin
  4. Wautoma
  5. Pharmacy
  6. NPI Profile

LA CLINICA DE LOS CAMPESINOS, INC
NPI 1174322846
Pharmacy in Wautoma, WI

Active since March 13, 2025
400 S TOWNLINE RD, WAUTOMA, WI 54982(920) 647-8984(920) 647-8991 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2025, Mar 13, 2025 (2 updates tracked since 2025).

About La Clinica De Los Campesinos, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LA CLINICA DE LOS CAMPESINOS, INC (NPI 1174322846) is a healthcare organization registered as a pharmacy in Wautoma, Wisconsin and active in the NPI registry since March 2025. The organization lists Kellen Dorff, Director Of Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1174322846
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameLA CLINICA DE LOS CAMPESINOS, INC
Location Address400 S TOWNLINE RDWautoma, WI 54982-6922
Mailing Address400 S Townline RdWautoma, WI 54982-6922 · (920) 647-8984 · Fax (920) 647-8991
Phone(920) 647-8984
Fax(920) 647-8991
Organization SubpartNo
Authorized OfficialKellen DorffDirector Of Pharmacy · (920) 647-8984
Enumeration DateMarch 13, 2025
Last NPPES UpdateJune 17, 20252 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
✔ NPI 1174322846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
400 S TOWNLINE RD, Wautoma, WI 54982
Open in Google Maps ↗

Other Names 1

Other NameNoble Community Clinics Rds Wautoma

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAYLA MEILICK RDH
Dental Hygienist
400 S TOWNLINE RD
WAUTOMA, WI 54982
Waushara County (920) 787-5514
JANET KRIEDERMANN RECORE RDH
Dental Hygienist
400 S TOWNLINE RD
WAUTOMA, WI 54982
Waushara County (920) 787-5514
HOLLY L KRIZAN RDH
Dental Hygienist
400 S TOWNLINE RD
WAUTOMA, WI 54982
Waushara County (920) 787-5514
AMY SCHOENOFF APNP
Nurse Practitioner (Psychiatric/Mental Health)
400 S TOWNLINE RD
WAUTOMA, WI 54982
Waushara County (920) 787-5514
DR. JOAN L. FOX DDS
Dentist (General Practice)
400 S TOWNLINE RD
WAUTOMA, WI 54982
Waushara County (920) 787-5514
MRS. ERIKA RENAE ANNA RDN, CD
Dietitian, Registered
400 S TOWNLINE RD
WAUTOMA, WI 54982
Waushara County (920) 787-5514
JOSEPH W CARON MD
Family Medicine
400 S TOWNLINE RD
WAUTOMA, WI 54982
Waushara County (800) 942-5330
KIMBERLY FAIRCHILD LPC
Counselor (Mental Health)
400 S TOWNLINE RD
WAUTOMA, WI 54982
Waushara County (920) 787-5514

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is La Clinica De Los Campesinos, Inc's NPI number?

The NPI number for La Clinica De Los Campesinos, Inc is 1174322846. It was assigned to this organization in the NPPES registry on March 13, 2025. The provider is also known as Noble Community Clinics RDS Wautoma.

Where is La Clinica De Los Campesinos, Inc located?

La Clinica De Los Campesinos, Inc is located at 400 S Townline Rd, Wautoma, WI 54982. The listed phone number is (920) 647-8984.

What is La Clinica De Los Campesinos, Inc's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

What insurance does La Clinica De Los Campesinos, Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 30 other insurers list La Clinica De Los Campesinos, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for La Clinica De Los Campesinos, Inc was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.