Organization
THEDACARE REGIONAL MEDICAL CENTER - NEENAH, INC.
Active
Parent organization
THEDACARE REGIONAL MEDICAL CENTER - NEENAH, INC.
Other names
THEDA CLARK MEDICAL CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
THEDACARE REGIONAL MEDICAL CENTER - NEENAH, INC.
Authorized official
MR. WILLIAM FLETT (CFO)
(920) 454-4013
Entity
Organization
Contact information
Practice address
1095 MIDWAY RD, MENASHA, WI 54952-1115
(920) 729-2300
Mailing address
1095 MIDWAY RD, MENASHA, WI 54952-1115
(920) 830-5900
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
32
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
520045
MEDICARE PTAN
WI
Enumeration date
05/09/2016
Last updated
01/17/2024
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