Children’s hospital · WI
LA CLINICA DE LOS CAMPESINOS, INC.
- 0Registered locations
- 3Associated locations
- 14Contract pharmacies
- 1With no end date
- 1 April 1996In 340B since
Finances, as filed
This entity type does not file a Medicare cost report; no finances are recorded.
Changes recorded
Nothing on this record has moved since it was first read here on 6 September 2026.
Cite this page
Velarion Records, “LA CLINICA DE LOS CAMPESINOS, INC.” (340B ID CH050900), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/CH050900
Register detail and identifiers
Participation, as filed
- Participating
- TRUE
- Participation start date
- 1 April 1996
- Certification date
- 3 February 2026
- Record last edited
- 22 July 2026
Identifiers
- 340B ID
- CH050900
- Entity type as filed
- CH
- Site ID
- BPS-H80-003648
- Grant number
- H80CS00713
- NPI
- 1174322846 (WI), 1952027609 (WI)
400 S. Townline Rd, WAUTOMA WI 54982
Associated locations
| Organization | Address | Where |
|---|---|---|
| LA CLINICA DE LOS CAMPESINOS, INC. | 400 S. Townline Rd | WAUTOMA WI 54982 |
| Noble Community Clinics Pharmacy | 2501 Main Street | Stevens Point WI 54481 |
| Noble Community Clinics RDS Wautoma | 400 S. Townline Rd | Wautoma WI 54982 |
Pharmacy contracts
| Pharmacy | Where | Begins | Ends |
|---|---|---|---|
| AURORA PHARMACY | WAUTOMA, WI | 1 July 2019 | no end date filed |
| WAL-MART PHARMACY 10-1727 | BERLIN, WI | 1 July 2016 | 14 June 2023 |
| WAL-MART PHARMACY 10-1828 | PLOVER, WI | 1 July 2016 | 14 June 2023 |
| WALMART PHARMACY 10-5169 | ROGERS, AR | 1 July 2023 | 14 June 2023 |
| PHILLIPS ROCHE-A-CRI PHARMACY | FRIENDSHIP, WI | 1 October 2018 | 1 February 2022 |
| WALGREEN CO. | WISCONSIN RAPIDS, WI | 1 July 2019 | 22 August 2019 |
| WALGREEN CO. | RIPON, WI | 1 July 2019 | 22 August 2019 |
| WALGREEN CO. | WAUPACA, WI | 1 July 2019 | 22 August 2019 |
| SHOPKO PHARMACY #2617 | WAUTOMA, WI | 1 July 2016 | 1 February 2019 |
| SHOPKO PHARMACY #2619 | ADAMS, WI | 1 July 2016 | 1 February 2019 |
| WAL-MART PHARMACY 10-1799 | PORTAGE, WI | 1 July 2016 | 28 February 2018 |
| WAL-MART PHARMACY 10-1643 | FOND DU LAC, WI | 1 July 2016 | 18 December 2017 |
| DENNIS L HUNT PHARMACY | OMRO, WI | 1 October 2016 | 14 March 2017 |
| AURORA PHARMACY | WAUTOMA, WI | 1 July 2016 | 1 January 2017 |
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.