Active NPI
Thedacare Regional Medical Center-Neenah, Inc.
- Rehabilitation Hospital Unit
- Neenah, WI
National Provider Identifier
1205985140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital Unit
- License
- 52T045
- Legal business name
- THEDACARE REGIONAL MEDICAL CENTER-NEENAH, INC.
- Practice address
- 130 2ND St
Neenah, WI 54956-2883 - Phone
- (920) 830-5900
- Fax
- (920) 830-5910
- NPI assigned
- Jan 9, 2007
- Last updated
- Jan 2, 2024
- Organization subpart
- Yes
- Parent organization
- THEDACARE, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William Flett
- Title
- Cfo
- Phone
- (920) 454-4013
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital Unit | 273Y00000X | 52T045 | WI | Primary |
Addresses
Primary practice location
130 2ND St
Neenah, WI 54956-2883
Mailing address
3 Neenah Ctr
Neenah, WI 54956-3070
Phone (920) 830-5950
Other names 1
- Theda Clark Medical Center, Inc.
National Provider Directory
National Provider Directory- Part of
- Novus Laboratories
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704153600000",
"number": "1205985140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 NEENAH CTR",
"city": "NEENAH",
"state": "WI",
"postal_code": "549563070",
"telephone_number": "920-830-5950",
"fax_number": "920-830-5910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 2ND ST",
"city": "NEENAH",
"state": "WI",
"postal_code": "549562883",
"telephone_number": "920-830-5900",
"fax_number": "920-830-5910"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THEDACARE REGIONAL MEDICAL CENTER-NEENAH, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THEDACARE, INC.",
"enumeration_date": "2007-01-09",
"last_updated": "2024-01-02",
"certification_date": "2024-01-02",
"status": "A",
"authorized_official_last_name": "FLETT",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "920-454-4013",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "273Y00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Unit",
"state": "WI",
"license": "52T045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Theda Clark Medical Center, Inc.",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Theda Clark Medical Center, Inc.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Neenah, WI
- Thedacare Regional Medical Center - Neenah, Inc
- Thedacare Regional Medical Center - Neenah, Inc.
- Thedacare Regional Medical Center - Neenah, Inc. (ThedaCare Apothecary-Neenah)
- Thedacare Regional Medical Center-Neenah, Inc
- Thedacare Regional Medical Center-Neenah, Inc.
- Thedacare Regional Medical Center-Neenah, Inc.
- Thedacare Regional Medical Center-Neenah, Inc. (ThedaCare Apothecary - Neenah)
- Thedacare Regional Medical Center-Neenah, Inc.
- Thedacare Regional Medical Center-Neenah, Inc.
- Thedacare-Peabody Manor
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.