Shawano Medical Center, Inc.

LBN: Thedacare Medical Center - Shawano, Inc.
Shawano Medical Center, Inc. is an health care organization with primary practice located at 100 County Road B , Shawano WI 54166-7072. The organization recently has only one registered license in Hospitals / Critical Access, which is considered as the primary health care specialty. Thedacare Medical Center - Shawano, Inc. can be contacted via phone (715) 526-2111, or through Flett, William via phone (920) 454-4013.

Contact Information

Primary practice address
100 County Road B Shawano WI 54166-7072
Phone: (715) 526-2111
Fax: (715) 526-7308
Website:
Map and Directions
Authorized official contact:
Name: Flett, William
Phone: (920) 454-4013

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X 1051 Wisconsin

Profile Details

NPI number 1548260839
LBN Legal business name Thedacare Medical Center - Shawano, Inc.
DBA Doing business as Shawano Medical Center, Inc.
Authorized official Flett, William
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2005
Last updated Jan 3rd, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548260839 NPPES
Wisconsin MEDICAID 41173800
Wisconsin MEDICAID 11013400
Wisconsin MEDICAID 11013410
Wisconsin MEDICAID 32944300
Wisconsin MEDICAID 32762800

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