Organization
THEDACARE MEDICAL CENTER - BERLIN, INC.
Active
Parent organization
THEDACARE MEDICAL CENTER - BERLIN, INC.
Other names
COMMUNITY HEALTH NETWORK, INC. AND BERLIN MEMORIAL HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
THEDACARE MEDICAL CENTER - BERLIN, INC.
Authorized official
WILLIAM FLETT (CFO)
(920) 454-4013
Entity
Organization
Contact information
Practice address
N2930 STATE ROAD 22, WAUTOMA, WI 54982-5267
(920) 361-1313
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 830-5900
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
1060
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
521355
MEDICARE PTAN
WI
Enumeration date
04/22/2016
Last updated
01/03/2024
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