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THEDACARE REGIONAL MEDICAL CENTER - NEENAH INC NPI 1407271992


NPI Information

NPI: 1407271992
Provider Name: THEDACARE REGIONAL MEDICAL CENTER - NEENAH, INC

Former Legal Business Name: THEDA CLARK MEDICAL CENTER, INC

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
130 2ND ST
NEENAH, WI
ZIP 54956
Phone: (920) 729-3100
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THEDACARE REGIONAL MEDICAL CENTER - NEENAH, INC is a non pharmacy dispensing site in Neenah, WI. The provider is 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.) THEDACARE REGIONAL MEDICAL CENTER - NEENAH, INC NPI is 1407271992. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Theda Clark Medical Center, Inc.

The provider's business location address is:

130 2ND ST
NEENAH, WI
ZIP 54956-883
Phone: (920) 729-3100

The provider's authorized official is Wlliam Flett .
The authorized official title is Cfo and has the following contact phone number (920) 454-4013.

The enumeration date for this NPI number is 2/20/2014 and was last updated on 1/2/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332900000XNon-Pharmacy Dispensing SiteYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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