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THEDACARE REGIONAL MEDICAL CENTER-NEENAH INC. NPI 1780733840


NPI Information

NPI: 1780733840
Provider Name: THEDACARE REGIONAL MEDICAL CENTER-NEENAH, INC.

Doing Business As: THEDACARE DIAGNOSTIC IMAGING CENTER

Classification: Clinic/Center - 261QM1200X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging (MRI)

CLIA Number: 52D2181359

Address:
5320 W MICHAELS DR
APPLETON, WI
ZIP 54913
Phone: (920) 735-7650
Get Directions

THEDACARE REGIONAL MEDICAL CENTER-NEENAH, INC. is a magnetic resonance imaging (mri) clinic center in Appleton, WI. THEDACARE REGIONAL MEDICAL CENTER-NEENAH, INC. NPI is 1780733840. The provider is registered as an organization entity type.
The provider Is Doing Business As Thedacare Diagnostic Imaging Center.

The provider's business location address is:

5320 W MICHAELS DR
APPLETON, WI
ZIP 54913-446
Phone: (920) 735-7650
Fax: (920) 735-7655

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 CLIA number assigned to this NPI record is 52D2181359 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 9/17/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)000092455WISCONSINYes

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: 11/14/2023

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