Organization
THEDACARE, INCORPORATED
Active
Other names
ThedaCare Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM FLETT (CFO)
(920) 454-4013
Entity
Organization
Contact information
Practice address
1405 MILL ST, NEW LONDON, WI 54961-2155
(920) 830-5900
(920) 830-5910
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 454-4229
(920) 993-5001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32883500
—
WI
01
—
WI2721
MEDICARE PTAN
WI
Enumeration date
08/16/2006
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