Organization
THEDACARE MEDICAL CENTER - SHAWANO, INC.
Active
Other names
SHAWANO MEDICAL CENTER, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM FLETT (CFO)
(920) 454-4013
Entity
Organization
Contact information
Practice address
100 COUNTY ROAD B, SHAWANO, WI 54166-7072
(715) 526-2111
(715) 526-7308
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 830-5900
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
1051
WI
Other
Enumeration date
01/11/2008
Last updated
01/03/2024
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