Organization
THEDACARE MEDICAL CENTER - WAUPACA, INC.
Active
Other names
Riverside Medical Center, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM FLETT (CFO)
(920) 454-4013
Entity
Organization
Contact information
Practice address
800 RIVERSIDE DR, WAUPACA, WI 54981-1943
(715) 258-1000
(715) 258-1626
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 830-5900
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
1038
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1019845001
AMERICHOICE MEDICAID
WI
05
—
11018600
—
WI
05
—
11018610
—
WI
05
—
32942600
—
WI
05
—
42245200
—
WI
05
—
62766600
—
WI
01
—
701137
NETWORK HEALTH PLAN
WI
01
—
CC8778
RAILROAD MEDICARE #
WI
Enumeration date
01/04/2006
Last updated
01/02/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us