Thedcare Regional Medical Center - Neenah, Inc.
Organization Active NPI General Acute Care Hospital · Oshkosh, WI
NPI 1679937494 · NPPES record last updated Jan 2, 2024
Key facts
- NPI
- 1679937494
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 32 (WI)
- Legal business name
- THEDCARE REGIONAL MEDICAL CENTER - NEENAH, INC.
- Practice address
- 2400 Witzel Ave
Suite C
Oshkosh, WI 54904-8374 - Phone
- (920) 830-5900
- Fax
- (920) 830-5910
- NPI assigned
- Apr 7, 2016
- Organization subpart
- Yes
- Parent organization (as reported)
- THEDACARE REGIONAL MEDICAL CENTER - NEENAH, INC.
Authorized official
- Name
- Mr. William Flett
- Title
- Cfo
- Phone
- (920) 454-4013
Owners & managing parties with NPI records 14
-
David W Koeper, MD
Other NPIs on the same Medicare enrollment 4
Corporate family (same tax ID) 14
Affiliated clinicians 901
-
Julie Ann Abboud, D.P.M.
-
Caroline A Abel, APNP
-
Aeron Rachel Adams, DNP
-
Mark G Adorjan, MD
-
Sara J Aerts, NP
-
Suraiya Afroz, D.O.
-
Parul Dureja Agarwal, M.D.
-
Osaid K Ahmad, MD
-
Catherine A Allen, MSN, APNP
-
Angela Kaye Amos, MD
-
David Anderla, MD
-
Jennifer Ashley Anderson, DNP, FNP-C
-
Matthew S Anderson, M.D.
-
Ashley J Andrus, APNP
-
Christine Arendt, NP
-
Trevor D Argall, MD, MS
Medicare Care Compare: Hospital
- Listed as
- Thedacare Regional Med Ctr - Neenah
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Hospital certification: CCN 520045
- Legal name
- THEDACARE REGIONAL MEDICAL CENTER-NEENAH INC
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Feb 12, 2010
- Beds
- 182
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Sep 23, 1909 in WI
- Enrollment address
- 130 2ND St
Neenah, WI 54956-2883 - Hospital subgroups
- General, Rehabilitation
All disclosed owners & managing parties 14
| Name | Role | Since | Share |
|---|---|---|---|
| Froedtert Thedacare Health, Inc. |
Operational/Managerial Control | Jan 1, 2024 | |
| Jennifer R Glasheen |
W-2 Managing Employee |
Jan 1, 2023 | |
| Laurie a Carter |
Corporate Director |
Feb 1, 2022 | |
| Thedacare, Incorporated |
Operational/Managerial Control | Jan 19, 2011 | |
| Mary W Goggans |
Corporate Director |
Feb 1, 2022 | |
| Alan Loux |
Corporate Director | Jan 1, 2023 | |
| William Flett |
Corporate Director |
Jan 1, 2024 | |
| W-2 Managing Employee |
Jan 1, 2024 | ||
| Imran a Andrabi |
Corporate Director |
Jun 28, 2017 | |
| W-2 Managing Employee |
Jun 28, 2017 | ||
| Chuck Dallas |
Corporate Director |
Feb 11, 2021 | |
| David W Koeper |
Corporate Director |
Mar 1, 2022 | |
| Susan M Pahl |
W-2 Managing Employee | Jan 1, 2022 | |
| Steven J Price |
Corporate Director | Jan 1, 2023 | |
| Kathleen Pigeon |
W-2 Managing Employee |
Jun 11, 2020 | |
| Michael Morse |
Corporate Director |
Jan 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081006000715 | WI | Part a Provider - Hospital | 8921090846 |
4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Menasha, WI; Neenah, WI; Oshkosh, WI |
National Provider Directory
- Tax ID family
- Thedacare Regional Medical
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 32 | WI | Yes |
Addresses
Primary practice location
2400 Witzel Ave
Suite C
Oshkosh, WI 54904-8374
Mailing address
3 Neenah Ctr
Neenah, WI 54956-3070
Phone (920) 830-5900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 520045 | Other | WI | MEDICARE PTAN |
Other names
- THEDA CLARK MEDICAL CENTER, INC.
Other providers in Oshkosh, WI
- The Kennedy Center for the Hip and Knee S.C.
- Thedacare Regional Medical Center - Appleton Inc.
- Thedacare Regional Medical Center - Appleton, Inc.
- Thedacare Regional Medical Center-Neenah, Inc.
- Thedacare, Incorporated
- Michelle Lyn Thede
- Nicole Mae Thibodeaux
- Bridget Thiel
- Daniel John Thiel
- Angela Thoma
All providers in Oshkosh, WI · General 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 Jan 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.