THEDACARE REGIONAL MEDICAL CENTER-NEENAH, INC.
NPI 1245463678
Clinical Medical Laboratory in Neenah, WI

Active since September 02, 2009

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 2, 2024, Sep 17, 2019 (2 updates tracked since 2019).

About Thedacare Regional Medical Center-neenah, Inc. NPPES

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

THEDACARE REGIONAL MEDICAL CENTER-NEENAH, INC. (NPI 1245463678), doing business as Theda Clark Medical Center, Inc., is a healthcare organization registered as a clinical medical laboratory in Neenah, Wisconsin and active in the NPI registry since September 2009. The organization lists William Flett, Cfo, as its authorized official.

NPPES Registry Identity

NPI1245463678
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameTHEDACARE REGIONAL MEDICAL CENTER-NEENAH, INC.
Location Address130 2ND STNeenah, WI 54956-2883
Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 836-5900 · Fax (920) 830-5910
Organization SubpartNo
Authorized OfficialWilliam FlettCfo · (920) 454-4013
Enumeration DateSeptember 2, 2009
Last NPPES UpdateJanuary 2, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2024
NPI 1245463678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in WI · 52D0397878
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
130 2ND ST, Neenah, WI 54956

Other Names 1

Former Legal Business NameTheda Clark Medical Center, Inc.

Other Identifiers 1

Medicaid32944400WI

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.

Pharmacist
130 2ND ST
NEENAH, WI 54956
Nurse Anesthetist, Certified Registered
130 2ND ST, STE. A107
NEENAH, WI 54956
Occupational Therapist
130 2ND ST
NEENAH, WI 54956
Physical Therapist
130 2ND ST
NEENAH, WI 54956
Physical Therapist
130 2ND ST
NEENAH, WI 54956
Nurse Anesthetist, Certified Registered
130 2ND ST
NEENAH, WI 54956
Pediatrics (Neonatal-Perinatal Medicine)
130 2ND ST
NEENAH, WI 54956
Physical Therapist
130 2ND ST
NEENAH, WI 54956

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 Regional Medical Center-Neenah, Inc.'s NPI number?

The NPI number for Thedacare Regional Medical Center-Neenah, Inc. is 1245463678. It was assigned to this organization in the NPPES registry on September 2, 2009. The provider was formerly known as Theda Clark Medical Center, Inc..

Where is Thedacare Regional Medical Center-Neenah, Inc. located?

Thedacare Regional Medical Center-Neenah, Inc. is located at 130 2nd St, Neenah, WI 54956. The listed phone number is (920) 830-5910.

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

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

When was this NPI record last updated?

The NPPES record for Thedacare Regional Medical Center-Neenah, 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.