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THEDACARE, INCORPORATED
NPI 1376554865
Durable Medical Equipment & Medical Supplies in Shawano, WI

Active since August 10, 2006CLIA Certified · 2 labs
100 COUNTY ROAD B, SHAWANO, WI 54166(920) 969-0919(920) 730-3433 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 2, 2024, Jul 6, 2023, Dec 14, 2016 (3 updates tracked since 2016).

About Thedacare, Incorporated NPPES

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

THEDACARE, INCORPORATED (NPI 1376554865) is a healthcare organization registered as a durable medical equipment & medical supplies in Shawano, Wisconsin and active in the NPI registry since August 2006. The organization holds 2 active CLIA laboratory certificates and lists William Flett, Cfo, as its authorized official.

NPPES Registry Identity

NPI1376554865
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameTHEDACARE, INCORPORATED
Location Address100 COUNTY ROAD BShawano, WI 54166
Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 969-0919 · Fax (920) 730-3433
Phone(920) 969-0919
Fax(920) 730-3433
Organization SubpartNo
Authorized OfficialWilliam FlettCfo · (920) 454-4013
Enumeration DateAugust 10, 2006
Last NPPES UpdateJanuary 2, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2024
✔ NPI 1376554865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in WI · 004-0000148276-01
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
100 COUNTY ROAD B, Shawano, WI 54166
Open in Google Maps ↗

Other Identifiers 1

Medicaid41700000WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), HealthPartners, Network Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 Waiver 52D2017048

Thedacare Physicians Shawano - Urology · Shawano, WI
Active · expires Jul 2, 2028
CLIA Number52D2017048
Laboratory TypePhysician Office
Certificate Effective DateJuly 3, 2026
Certificate Expiration DateJuly 2, 2028
Laboratory DirectorKyle S. Retzki
Laboratory Phone(920) 886-7138
Laboratory LocationThedacare Physicians Shawano - Urology100 County Road B, Shawano, WI 54166
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 52D2075145

Thedacare Rural Health Initiative · Shawano, WI
Active · expires Mar 23, 2028
CLIA Number52D2075145
Laboratory TypeRural Health Clinic
Certificate Effective DateMarch 24, 2026
Certificate Expiration DateMarch 23, 2028
Laboratory DirectorDr. Alisha Fahley
Laboratory Phone(715) 524-1488
Laboratory LocationThedacare Rural Health Initiative100 County Road B, Shawano, WI 54166
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

SHOPKO STORES OPERATING CO., LLC
Pharmacy (Community/Retail Pharmacy)
100 COUNTY ROAD B
SHAWANO, WI 54166
Shawano County (920) 429-4726
MR. DAVID A KLOSS M.D.
Surgery
100 COUNTY ROAD B
SHAWANO, WI 54166
Shawano County (715) 524-2161
DR. MINDY MARIA FRIMODIG DO
Family Medicine
100 COUNTY ROAD B
SHAWANO, WI 54166
Shawano County (715) 524-2161
CAROLYN ANNE FLOOD OTR/L
Occupational Therapist
100 COUNTY ROAD B
SHAWANO, WI 54166
Shawano County (715) 526-7370
WILL GILLIS PHARMD
Pharmacist
100 COUNTY ROAD B
SHAWANO, WI 54166
Shawano County (715) 526-3456
RACHEL NAULT PHARMD
Pharmacist
100 COUNTY ROAD B
SHAWANO, WI 54166
Shawano County (715) 524-2161
ALEXIS VANDEHEY
Pharmacist
100 COUNTY ROAD B
SHAWANO, WI 54166
Shawano County (920) 203-0630
JENNA J MULDER
Physician Assistant
100 COUNTY ROAD B
SHAWANO, WI 54166
Shawano County (715) 526-2111

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, Incorporated's NPI number?

The NPI number for Thedacare, Incorporated is 1376554865. It was assigned to this organization in the NPPES registry on August 10, 2006.

Where is Thedacare, Incorporated located?

Thedacare, Incorporated is located at 100 County Road B, Shawano, WI 54166. The listed phone number is (920) 969-0919.

What is Thedacare, Incorporated's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Thedacare, Incorporated hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Thedacare, Incorporated accept?

Health plans from CareSource (Common Ground Healthcare), HealthPartners, Network Health and Quartz list Thedacare, Incorporated 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, Incorporated 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.