Organization
THEDACARE MEDICAL CENTER - NEW LONDON, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM FLETT (CFO)
(920) 454-4013
Entity
Organization
Contact information
Practice address
1405 MILL ST, NEW LONDON, WI 54961-2155
(920) 531-2092
(920) 531-2098
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 830-8900
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11010400
—
WI
05
—
11010410
—
WI
05
—
32767200
—
WI
05
—
32944000
—
WI
Enumeration date
05/02/2006
Last updated
01/03/2024
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