Organization
THEDACARE MEDICAL CENTER - SHAWANO, INC.
Active
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
291U00000X
Clinical Medical Laboratory
Primary
1051
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11013410
—
WI
Enumeration date
06/24/2014
Last updated
01/03/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up