Organization
THEDACARE MEDICAL CENTER - WAUPACA, INC.
Active
Organization
THEDACARE MEDICAL CENTER - WAUPACA, INC.
Active
Other names
Riverside Medical Center, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM FLETT (CFO)
(920) 454-4013
Entity
Organization
Contact information
Practice address
800 RIVERSIDE DR, WAUPACA, WI 54981-1943
(715) 258-1000
(715) 258-1626
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 830-8900
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1038
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11018610
—
WI
Enumeration date
06/24/2014
Last updated
01/02/2024
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