La Clinica De Los Campesinos, Inc
NPI 1174322846 · Pharmacy · Wautoma, WI
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
La Clinica De Los Campesinos, Inc is a Pharmacy organization in Wautoma, WI (NPI 1174322846).
Provider details
- NPI number
- 1174322846
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kellen Dorff, Director of Pharmacy(920) 647-8984
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Noble Community Clinics Rds Wautoma
Registry dates
- Enumerated
- 2025-03-13
- Last updated
- 2025-06-17
- Certified
- 2025-06-17
Frequently asked questions
- What is La Clinica De Los Campesinos, Inc's NPI number?
- La Clinica De Los Campesinos, Inc's National Provider Identifier (NPI) is 1174322846, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is La Clinica De Los Campesinos, Inc?
- La Clinica De Los Campesinos, Inc is classified in the NPPES registry as Pharmacy (Suppliers).
- Where is La Clinica De Los Campesinos, Inc located?
- La Clinica De Los Campesinos, Inc's practice location on file with NPPES is 400 S Townline Rd, Wautoma, WI 54982-6922.
- What is La Clinica De Los Campesinos, Inc's phone number?
- The practice phone number listed in the NPPES registry for La Clinica De Los Campesinos, Inc is (920) 647-8984.
- Does La Clinica De Los Campesinos, Inc accept Medicare?
- La Clinica De Los Campesinos, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for La Clinica De Los Campesinos, Inc?
- The authorized official listed on La Clinica De Los Campesinos, Inc's NPPES record is Kellen Dorff, Director of Pharmacy. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is La Clinica De Los Campesinos, Inc's NPI active?
- Yes — La Clinica De Los Campesinos, Inc's NPI (1174322846) is active in the NPPES registry as of the last update on 2025-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.