THEDACARE MEDICAL CENTER - WILD ROSE INC NPI 1043263999

NPI Information

  • NPI: 1043263999
  • Provider Name: THEDACARE MEDICAL CENTER - WILD ROSE, INC
  • Classification: General Acute Care Hospital - 282NC0060X
  • Specialization: Critical Access
  • Entity Type: Organization
  • Other Name: WILD ROSE COMMUNITY MEMORIAL HOSPITAL, INC
  • Address: 601 GROVE AVE
    WILD ROSE, WI
    ZIP 54984
  • Phone: (920) 622-3257

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NPI Details

THEDACARE MEDICAL CENTER - WILD ROSE, INC is a critical access general acute care hospital in Wild Rose, WI. THEDACARE MEDICAL CENTER - WILD ROSE, INC NPI is 1043263999. The provider is registered as an organization entity type.
The provider Other Name Is Wild Rose Community Memorial Hospital, Inc.

The provider's business location address is:

601 GROVE AVE
WILD ROSE, WI
ZIP 54984-243
Phone: (920) 622-3257
Fax: (920) 622-5593

The provider's authorized official is William 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 5/19/2006 and was last updated on 1/3/2024.

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
1282NC0060XGeneral Acute Care HospitalCritical AccessYes

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: 3/30/2025

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