CMH PRIMARY CARE CLINIC-MOUNTAIN
NPI 1962533455
Family Medicine in Mountain, WI

Q: What is Cmh Primary Care Clinic Moutain-Physician Dispensary's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since March 08, 2007

14353 HWY 32 & 64, MOUNTAIN, WI 54149(715) 276-1600(715) 276-1800 Get Directions Write a Review

NPPES record last updated: December 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 23, 2021, Aug 22, 2020 (2 updates tracked since 2020).

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About Cmh Primary Care Clinic-mountain NPPES

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

CMH PRIMARY CARE CLINIC-MOUNTAIN (NPI 1962533455) is a healthcare organization registered as a family medicine in Mountain, Wisconsin and active in the NPI registry since March 2007. The organization lists Douglas C Gremban, Physician Dispensary, as its authorized official.

NPPES Registry Identity

NPI1962533455

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCMH PRIMARY CARE CLINIC MOUTAIN-PHYSICIAN DISPENSARY

Location Address14353 HWY 32 & 64Mountain, WI 54149

Mailing Address14353 Hwy 32 & 64Mountain, WI 54149 · (715) 276-1600 · Fax (715) 276-1800

Phone(715) 276-1600

Fax(715) 276-1800

Organization SubpartNo

Authorized OfficialDouglas C GrembanPhysician Dispensary · (715) 276-1600

Enumeration DateMarch 8, 2007

Last NPPES UpdateDecember 23, 20212 updates tracked since enumeration

NPPES CertifiedDecember 23, 2021

✔ NPI 1962533455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WI · 23967-020

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

14353 HWY 32 & 64, Mountain, WI 54149

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Other Names 1

Doing Business AsCmh Primary Care Clinic-mountain

Other Identifiers 3

Other5128904WI · Ncpdp

Other395585708005WI · Gremban Bc

Medicaid31756500WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Primary Care Clinic Moutain-Physician Dispensary's NPI number?

The NPI number for Cmh Primary Care Clinic Moutain-Physician Dispensary is 1962533455. It was assigned to this organization in the NPPES registry on March 8, 2007. The provider is doing business as Cmh Primary Care Clinic-Mountain.

Where is Cmh Primary Care Clinic Moutain-Physician Dispensary located?

Cmh Primary Care Clinic Moutain-Physician Dispensary is located at 14353 Hwy 32 & 64, Mountain, WI 54149. The listed phone number is (715) 276-1600.

What is Cmh Primary Care Clinic Moutain-Physician Dispensary's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Cmh Primary Care Clinic Moutain-Physician Dispensary was last updated on December 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.