THEDACARE REGIONAL MEDICAL CENTER - NEENAH, INC
NPI 1407271992
Non-Pharmacy Dispensing Site in Neenah, WI

Active since February 20, 2014

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

Record update history: Jan 2, 2024, Jan 16, 2017 (2 updates tracked since 2017).

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 1407271992), doing business as Theda Clark Medical Center, Inc, is a healthcare organization registered as a non-pharmacy dispensing site in Neenah, Wisconsin and active in the NPI registry since February 2014. The organization lists Wlliam Flett, Cfo, as its authorized official.

NPPES Registry Identity

NPI1407271992
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameTHEDACARE REGIONAL MEDICAL CENTER - NEENAH, INC
Location Address130 2ND STNeenah, WI 54956-2883
Mailing Address6501 City West PkwyEden Prairie, MN 55344-3248 · (952) 653-2525
Organization SubpartYesParent: Theda Clark Medical Center Inc.
Authorized OfficialWlliam FlettCfo · (920) 454-4013
Enumeration DateFebruary 20, 2014
Last NPPES UpdateJanuary 2, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2024
NPI 1407271992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
130 2ND ST, Neenah, WI 54956

Other Names 1

Former Legal Business NameTheda Clark Medical Center, Inc

Accepted Insurance

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 1407271992. It was assigned to this organization in the NPPES registry on February 20, 2014. 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) 729-3100.

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

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

What insurance does Thedacare Regional Medical Center - Neenah, Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans and Baylor Scott and White Health Plan and 18 other insurers list Thedacare Regional Medical Center - Neenah, 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 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.