THEDACARE MEDICAL CENTER - WAUPACA INC. NPI 1073799664

NPI Information

  • NPI: 1073799664
  • Provider Name: THEDACARE MEDICAL CENTER - WAUPACA, INC.
  • Classification: General Acute Care Hospital - 282NC0060X
  • Specialization: Critical Access
  • Entity Type: Organization
  • Former Legal Business Name: RIVERSIDE MEDICAL CENTER, INC.
  • Address: 800 RIVERSIDE DR
    WAUPACA, WI
    ZIP 54981
  • Phone: (715) 258-1000

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NPI Details

THEDACARE MEDICAL CENTER - WAUPACA, INC. is a critical access general acute care hospital in Waupaca, WI. THEDACARE MEDICAL CENTER - WAUPACA, INC. NPI is 1073799664. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Riverside Medical Center, Inc..

The provider's business location address is:

800 RIVERSIDE DR
WAUPACA, WI
ZIP 54981-943
Phone: (715) 258-1000
Fax: (715) 258-1626

The provider's authorized official is Mark S Thompson .
The authorized official title is Cfo and has the following contact phone number (920) 830-5885.

The enumeration date for this NPI number is 1/14/2008 and was last updated on 9/6/2019.

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 Access3031WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
132942600MEDICAIDWISCONSIN

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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