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Community Memorial Hospital

Clinical Social Worker in Oconto Falls, WI · enumerated 2009 · authorized official Jim Van Dornick, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629302831

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Registry record

Entity type Organization (Type 2)
Legal business name Community Memorial Hospital
Other name <Unavail>
Parent organization Community Memorial Hospital
Practice address 855 S Main St, Oconto Falls, WI, 54154
Fax (920) 846-0250
Enumeration date Sep 22, 2009
Last updated in NPPES Feb 25, 2011

Taxonomy & classification

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 7421-123 (WI) Primary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 6699-123 (WI) Secondary

Authorized official

Name Jim Van Dornick
Title Ceo

Other identifiers

Identifier Type State Issuer
1346393287 Other WI WINIUS NPI
1851477913 Other WI CMH NPI
1922270693 Other WI FLETCHER NPI
11014110 Medicaid WI -
1326349135 Other WI CMH SB NPI

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Community Memorial Hospital?
NPPES lists Jim Van Dornick (Ceo) as the authorized official for this organization.
What is the NPI number for Community Memorial Hospital?
The NPI for Community Memorial Hospital is 1629302831, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-02-25.