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
2500 E CAPITOL DR, APPLETON, WI 54911-8735
(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
11/14/2024
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