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THEDACARE MEDICAL CENTER - WAUPACA, INC.
NPI 1013995521
General Acute Care Hospital - Critical Access in Waupaca, WI

Active since January 04, 2006CLIA 52D0397986 · Accreditation
800 RIVERSIDE DR, WAUPACA, WI 54981(715) 258-1000(715) 258-1626 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 2, 2024, Sep 6, 2019, Apr 30, 2017 and 1 more (4 updates tracked since 2017).

About Thedacare Medical Center - Waupaca, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THEDACARE MEDICAL CENTER - WAUPACA, INC. (NPI 1013995521), doing business as Riverside Medical Center, Inc., is a healthcare organization registered as a critical access in Waupaca, Wisconsin and active in the NPI registry since January 2006. The organization holds an CLIA Accreditation certificate valid through January 2, 2027 and lists William Flett, Cfo, as its authorized official.

NPPES Registry Identity

NPI1013995521
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameTHEDACARE MEDICAL CENTER - WAUPACA, INC.
Location Address800 RIVERSIDE DRWaupaca, WI 54981-1943
Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 830-5900 · Fax (920) 830-5910
Phone(715) 258-1000
Fax(715) 258-1626
Organization SubpartNo
Authorized OfficialWilliam FlettCfo · (920) 454-4013
Enumeration DateJanuary 4, 2006
Last NPPES UpdateJanuary 2, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2024
✔ NPI 1013995521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care Hospital · Critical AccessHospitals
Taxonomy Code282NC0060X
License✔ Licensed in WI · 1038
800 RIVERSIDE DR, Waupaca, WI 54981
Open in Google Maps ↗

Other Names 1

Former Legal Business NameRiverside Medical Center, Inc.

Other Identifiers 8

OtherCC8778WI · Railroad Medicare #
Medicaid11018600WI
Other701137WI · Network Health Plan
Medicaid62766600WI
Medicaid32942600WI
Medicaid42245200WI
Other1019845001WI · Americhoice Medicaid
Medicaid11018610WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 52D0397986

Thedacare Medical Center - Waupaca · Waupaca, WI
Active · expires Jan 2, 2027
CLIA Number52D0397986
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorStacy Hitt
Laboratory Phone(715) 258-1207
Laboratory LocationThedacare Medical Center - Waupaca800 Riverside Dr, Waupaca, WI 54981
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. BRUCE ALLEN PIERSON PT
Physical Therapist
800 RIVERSIDE DR
WAUPACA, WI 54981
Waupaca County (715) 258-1053
AMANDA DEBAUCHE OTR
Occupational Therapist
800 RIVERSIDE DR
WAUPACA, WI 54981
Waupaca County (715) 258-1053
AARON D. REINEKING PA
Physician Assistant
800 RIVERSIDE DR
WAUPACA, WI 54981
Waupaca County (715) 258-1300
THEDACARE MEDICAL CENTER - WAUPACA, INC.
General Acute Care Hospital (Critical Access)
800 RIVERSIDE DR
WAUPACA, WI 54981
Waupaca County (715) 258-1000
CHARLES D WASHINGTON M.D.
Emergency Medicine
800 RIVERSIDE DR
WAUPACA, WI 54981
Waupaca County (715) 258-1000
JASON BONFIGLIO PA
Physician Assistant
800 RIVERSIDE DR
WAUPACA, WI 54981
Waupaca County (715) 258-1000
MR. DEOGRACIAS R ESTRADA M.D.
Hospitalist
800 RIVERSIDE DR
WAUPACA, WI 54981
Waupaca County (715) 258-1000
RACHEL BADTKE OTD, OTR/L
Occupational Therapist
800 RIVERSIDE DR
WAUPACA, WI 54981
Waupaca County (715) 258-1053

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thedacare Medical Center - Waupaca, Inc.'s NPI number?

The NPI number for Thedacare Medical Center - Waupaca, Inc. is 1013995521. It was assigned to this organization in the NPPES registry on January 4, 2006. The provider was formerly known as Riverside Medical Center, Inc..

Where is Thedacare Medical Center - Waupaca, Inc. located?

Thedacare Medical Center - Waupaca, Inc. is located at 800 Riverside Dr, Waupaca, WI 54981. The listed phone number is (715) 258-1000.

What is Thedacare Medical Center - Waupaca, Inc.'s specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

Does Thedacare Medical Center - Waupaca, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 52D0397986) is associated with this NPI, valid through January 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Thedacare Medical Center - Waupaca, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 3 other insurers list Thedacare Medical Center - Waupaca, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thedacare Medical Center - Waupaca, Inc. was last updated on January 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.