DOUGLAS C GREMBAN MD
NPI 1407801236
Non-Pharmacy Dispensing Site in Mountain, WI

Active since May 23, 2006
13435 WELLER RD, MOUNTAIN, WI 54149(715) 276-1600(715) 276-1800 Get Directions Write a Review

NPPES record last updated: March 12, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Douglas C Gremban Md NPPES

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

DOUGLAS C GREMBAN MD (NPI 1407801236) is a healthcare organization registered as a non-pharmacy dispensing site in Mountain, Wisconsin and active in the NPI registry since May 2006. The organization lists Greg Henn, Clinic Manager, as its authorized official.

NPPES Registry Identity

NPI1407801236
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameCMH MOUNTAIN PRIMARY CARE CLINIC
Location Address13435 WELLER RDMountain, WI 54149-9482
Mailing Address855 S Main StOconto Falls, WI 54154-1241
Fax(715) 276-1800
Organization SubpartNo
Authorized OfficialGreg HennClinic Manager · (920) 846-3440
Enumeration DateMay 23, 2006
Last NPPES UpdateMarch 12, 2008
NPI 1407801236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License Licensed in WI · 23967020
Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

13435 WELLER RD, Mountain, WI 54149

Other Names 1

Doing Business AsDouglas C Gremban Md

Other Identifiers 3

Other5128904Other Id Number
Medicaid31756500WI
Other5128904Other Id Number-commercial Number

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 Cmh Mountain Primary Care Clinic's NPI number?

The NPI number for Cmh Mountain Primary Care Clinic is 1407801236. It was assigned to this organization in the NPPES registry on May 23, 2006. The provider is doing business as Douglas C Gremban MD.

Where is Cmh Mountain Primary Care Clinic located?

Cmh Mountain Primary Care Clinic is located at 13435 Weller Rd, Mountain, WI 54149. The listed phone number is (715) 276-1600.

What is Cmh Mountain Primary Care Clinic's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Cmh Mountain Primary Care Clinic was last updated on March 12, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.