Thedacare Medical Center Berlin
Organization Active NPI Rural Acute Care Hospital · Berlin, WI
NPI 1477901833 · NPPES record last updated May 26, 2016
Key facts
- NPI
- 1477901833
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Acute Care Hospital 282NR1301X
- License
- 2461-19 (WI)
- Legal business name
- THEDACARE MEDICAL CENTER BERLIN
- Practice address
- 225 Memorial Dr
Berlin, WI 54923-1243 - Phone
- (920) 361-5534
- Fax
- (920) 361-5910
- NPI assigned
- May 26, 2016
- Organization subpart
- No
Authorized official
- Name
- Dale Burkhouse, ATC
- Title
- Rehabilitation Director
- Phone
- (920) 361-5559
Corporate family (same tax ID) 11
National Provider Directory
- Tax ID family
- CHN Lifeskills
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Acute Care Hospital | 282NR1301X | 2461-19 | WI | Yes |
Addresses
Primary practice location
225 Memorial Dr
Berlin, WI 54923-1243
Mailing address
225 Memorial Dr
Berlin, WI 54923-1243
Phone (920) 361-5534
Other names
- Community Health Network
Other providers in Berlin, WI
- Thedacare Medical Center - Berlin, Inc.
- Thedacare Medical Center - Berlin, Inc.
- Thedacare Medical Center - Berlin, Inc.
- Thedacare Medical Center - Berlin, Inc.
- Thedacare Medical Center - Berlin, Inc.
- Thedacare Medical Center-Berlin, Inc.
- Thedacare, Incorporated
- Emily Thoma
- Jessica Jo Tomasiewicz
- Total Renal Care Inc
All providers in Berlin, WI · Rural Acute Care Hospital in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.