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

NPI Status: Active since January 04, 2006

Contact Information

800 RIVERSIDE DR
WAUPACA, WI
ZIP 54981
Phone: (715) 258-1000
Fax: (715) 258-1626

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  • Organization
  • General Acute Care Hospital
  • Critical Access
  • Accepts Insurance

About THEDACARE MEDICAL CENTER - WAUPACA, INC.

This page provides the complete NPI Profile along with additional information for Thedacare Medical Center - Waupaca, Inc., a provider established in Waupaca, Wisconsin operating as a General Acute Care Hospital, focusing in critical access . The healthcare provider is registered in the NPI registry with number 1013995521 assigned on January 2006. The practitioner's primary taxonomy code is 282NC0060X with license number 1038 (WI). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's former legal business name is Riverside Medical Center, Inc.. The authorized official of this NPI record is Mr. William Flett (Cfo)

NPI
1013995521
Provider Legal Name
THEDACARE MEDICAL CENTER - WAUPACA, INC.
Other Organization Name
RIVERSIDE MEDICAL CENTER, INC.
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
800 RIVERSIDE DR WAUPACA, WI 54981
Location Phone
(715) 258-1000
Location Fax
(715) 258-1626
Mailing Address
3 NEENAH CTR NEENAH, WI 54956
Mailing Phone
(920) 830-5900
Mailing Fax
(715) 258-1626
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-04-2006
Last Update Date
01-02-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Acute Care Hospital Critical Access

Taxonomy Code
282NC0060X
Type
Hospitals
License No.
1038
License State
WI

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
  • Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
  • Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Priority/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Gold Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • HMO Bronze $0 Medical Deductible - HMO
  • HMO Bronze 7500 - HMO
  • HMO Catstrophic 9200 with 3 Free PCP Visits - HMO
  • HMO Gold 1500 - HMO
  • HMO Gold 2400 - HMO
  • HMO HDHP Bronze 7200 - HMO
  • HMO HDHP Silver 5400 - HMO
  • HMO Silver 5000 - HMO
  • HMO Silver 6600 - HMO
  • POS Bronze 7500 - POS
  • CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
  • CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
  • CGHC Bronze $9200 ($40 PCP Copay) - Envision Network - EPO
  • CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) - EPO
  • CGHC Bronze Standard $7500 - Envision Network - EPO
  • CGHC Bronze Standard $7500 - Envision Network (Vision Exam) - EPO
  • CGHC Catastrophic $9200 - Envision Network - EPO
  • CGHC Gold $0 Ded - Envision Network - EPO
  • CGHC Gold $0 Ded - Envision Network (Vision Exam) - EPO
  • CGHC Gold $3000 - Envision Network - EPO
  • Robin Select $2,800 Plus Silver - PPO
  • Robin Select $3,500 HSA Silver - PPO
  • Robin Select $5,000 Standard Silver - PPO
  • Robin Select $6,500 Plus Bronze - PPO
  • Robin Select $7,500 Standard Bronze - PPO
  • Robin Select $8,200 HSA Bronze - PPO
  • Robin Select $9,200 Catastrophic - PPO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE $7250 HSA - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $9200 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD $2500 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $2500 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $500 DED - HMO
  • Premier $1,500 - 25% - HMO
  • Premier $3,500 - 30% - HMO
  • Premier $4,100 HDHP - HMO
  • Premier $5,000 - 40% - HMO
  • Premier $6,200 HDHP - HMO
  • Premier $7,500 - HMO
  • Premier $9,200 - HMO
  • Premier Protection - HMO
  • Premier HMO $1,500 - 30% - HMO
  • Premier HMO $2,500 - 20% Copay - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. WILLIAM FLETT

Authorized Official Title
CFO
Authorized Official Phone
(920) 454-4013

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
CC8778OTHER (01)WIRAILROAD MEDICARE #
11018600MEDICAID (05)WI 
701137OTHER (01)WINETWORK HEALTH PLAN
62766600MEDICAID (05)WI 
32942600MEDICAID (05)WI 
42245200MEDICAID (05)WI 
1019845001OTHER (01)WIAMERICHOICE MEDICAID
11018610MEDICAID (05)WI 

Reviews for THEDACARE MEDICAL CENTER - WAUPACA, INC.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013995521
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20231891054
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 1 + 8 + 9 + 1 + 0 + 5 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1013995521 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

RICHARD S VEIGA MD SC

Pathology

(Anatomic Pathology & Clinical Pathology)

800 RIVERSIDE DR
WAUPACA, WI
ZIP 54981

(715) 258-1206

DR. CHARLES CONGER MD

Emergency Medicine

800 RIVERSIDE DR
WAUPACA, WI
ZIP 54981

(715) 258-1041

WAUPACA WOODS PHARMACY INC.

Pharmacy

(Clinic Pharmacy)

800 RIVERSIDE DR
WAUPACA, WI
ZIP 54981

(715) 256-1115

CARI JO KRAMER AUD

Audiologist

800 RIVERSIDE DR
WAUPACA, WI
ZIP 54981

(715) 258-1121

VANESSA WOWZYNSKI MPT

Physical Therapist

800 RIVERSIDE DR
WAUPACA, WI
ZIP 54981

(715) 258-1053

MR. DAVID MICHAEL REYBROCK MPT

Physical Therapist

800 RIVERSIDE DR
WAUPACA, WI
ZIP 54981

(715) 258-1053

DIANE CATHERINE PHELAN

Physical Therapy Assistant

800 RIVERSIDE DR
WAUPACA, WI
ZIP 54981

(715) 258-1053

SANDRA S RICE PTA

Physical Therapy Assistant

800 RIVERSIDE DR
WAUPACA, WI
ZIP 54981

(715) 258-1053

MRS. JILL MARIE NAVIN PTA

Physical Therapy Assistant

800 RIVERSIDE DR
WAUPACA, WI
ZIP 54981

(715) 258-1053

MR. BRUCE ALLEN PIERSON PT

Physical Therapist

800 RIVERSIDE DR
WAUPACA, WI
ZIP 54981

(715) 258-1053

MRS. TAMMY LYNN VANEVENHOVEN PHYSICAL THERAPIST

Physical Therapist

800 RIVERSIDE DR
WAUPACA, WI
ZIP 54981

(715) 258-1053

GARY DAVID PREMO ATC

Specialist/Technologist

(Athletic Trainer)

800 RIVERSIDE DR
WAUPACA, WI
ZIP 54981

(715) 258-1053

MRS. ELISHA TAPPLIN PT

Physical Therapist

800 RIVERSIDE DR
WAUPACA, WI
ZIP 54981

(715) 258-1161

JULIE UDULUTCH RPH

Pharmacist

800 RIVERSIDE DR
WAUPACA, WI
ZIP 54981

(715) 256-1115

SHOPKO STORES OPERATING CO LLC

Pharmacy

(Community/Retail Pharmacy)

800 RIVERSIDE DR
WAUPACA, WI
ZIP 54981

(715) 256-1115

FRANCESCA L DETRANA DO

Emergency Medicine

800 RIVERSIDE DR
WAUPACA, WI
ZIP 54981

(715) 258-1000

DR. MANDIP KAUR BARTELS M.D.

Internal Medicine

800 RIVERSIDE DR
WAUPACA, WI
ZIP 54981

(715) 258-1000

MR. ADAM MICHAEL IRWIN PT

Physical Therapist

800 RIVERSIDE DR
WAUPACA, WI
ZIP 54981

(715) 258-1000

ROBIN PURDY D.O.

Emergency Medicine

800 RIVERSIDE DR
WAUPACA, WI
ZIP 54981

(715) 258-1041

MR. MICHAEL W MINEHART CRNA

Nurse Anesthetist, Certified Registered

800 RIVERSIDE DR
WAUPACA, WI
ZIP 54981

(715) 258-1000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013995521, enumerated in the NPI registry as an "organization" on January 04, 2006

The provider is located at 800 Riverside Dr Waupaca, Wi 54981 and the phone number is (715) 258-1000

This medical organization specializes in General Acute Care Hospital with taxonomy code 282NC0060X with a focus in Critical Access

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Aspirus Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 04, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.