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THEDACARE MEDICAL CENTER - SHAWANO, INC.
NPI 1548248313
Hospice, Inpatient in Shawano, WI

Active since January 03, 2006
100 COUNTY ROAD B, SHAWANO, WI 54166(715) 524-2169(715) 526-7140 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 3, 2024, Oct 8, 2021, Dec 30, 2020 and 1 more (4 updates tracked since 2020).

About Thedacare Medical Center - Shawano, Inc. NPPES

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

THEDACARE MEDICAL CENTER - SHAWANO, INC. (NPI 1548248313) is a healthcare organization registered as a hospice, inpatient in Shawano, Wisconsin and active in the NPI registry since January 2006. The organization lists William Flett, Cfo, as its authorized official.

NPPES Registry Identity

NPI1548248313
Entity TypeOrganization
Primary Taxonomy315D00000X
Legal Business NameTHEDACARE MEDICAL CENTER - SHAWANO, INC.
Location Address100 COUNTY ROAD BShawano, WI 54166-7072
Mailing Address100 County Road BShawano, WI 54166-7072 · (715) 524-2169 · Fax (715) 526-7140
Phone(715) 524-2169
Fax(715) 526-7140
Organization SubpartNo
Authorized OfficialWilliam FlettCfo · (920) 454-4013
Enumeration DateJanuary 3, 2006
Last NPPES UpdateJanuary 3, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2024
✔ NPI 1548248313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice, InpatientNursing & Custodial Care Facilities
Taxonomy Code315D00000X
License✔ Licensed in WI · 510
Definition
A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient.
100 COUNTY ROAD B, Shawano, WI 54166
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Other Identifiers 1

Medicaid43184400WI

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 Medical Center - Shawano, Inc.'s NPI number?

The NPI number for Thedacare Medical Center - Shawano, Inc. is 1548248313. It was assigned to this organization in the NPPES registry on January 3, 2006.

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

Thedacare Medical Center - Shawano, Inc. is located at 100 County Road B, Shawano, WI 54166. The listed phone number is (715) 524-2169.

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

The primary specialty registered for this NPI is Hospice, Inpatient with taxonomy code 315D00000X.

When was this NPI record last updated?

The NPPES record for Thedacare Medical Center - Shawano, Inc. was last updated on January 3, 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.