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Organization
THEDACARE REGIONAL MEDICAL CENTER - APPLETON, INC.
Active
Organization
THEDACARE REGIONAL MEDICAL CENTER - APPLETON, INC.
Active
Parent organization
THEDACARE REGIONAL MEDICAL CENTER - APPLETON, INC.
Other names
APPLETON MEDICAL CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
THEDACARE REGIONAL MEDICAL CENTER - APPLETON, INC.
Authorized official
MR. WILLIAM FLETT (CFO)
(920) 454-4013
Entity
Organization
Contact information
Practice address
W5282 AMY AVE, APPLETON, WI 54915-7233
(920) 830-5900
(920) 830-5910
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 830-5900
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
169
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
520160
MEDICARE PTAN
WI
Enumeration date
04/07/2016
Last updated
01/02/2024
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