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Thedacare Regional Medical Center - Appleton, Inc.

Organization Active NPI Non-Pharmacy Dispensing Site · Appleton, WI

NPI 1154746642 · NPPES record last updated Jan 3, 2024

Key facts

NPI
1154746642
Entity type
Organization (NPI type 2)
Primary specialty
Non-Pharmacy Dispensing Site 332900000X
Legal business name
THEDACARE REGIONAL MEDICAL CENTER - APPLETON, INC.
Practice address
1818 N Meade St
Appleton, WI 54911-3454
Phone
(920) 731-4101
NPI assigned
Feb 20, 2014
Organization subpart
Yes
Parent organization (as reported)
APPLETON MEDICAL CENTER INC

Authorized official

Name
Mr. William Flett
Title
Cfo
Phone
(920) 454-4013

Corporate family (same tax ID) 11

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Appleton Medical Center (12 organizations share this tax ID)
Part of
Appleton Medical Center

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Yes

Addresses

Primary practice location

1818 N Meade St
Appleton, WI 54911-3454

Mailing address

6501 City West Pkwy
Eden Prairie, MN 55344-3248
Phone (952) 653-2525

Other names

  • APPLETON MEDICAL CENTER INC Former legal business name

Other providers in Appleton, WI

All providers in Appleton, WI · Non-Pharmacy Dispensing Site in Wisconsin

Sources for this page

Verify at the official NPI Registry.