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THEDACARE MEDICAL CENTER - SHAWANO, INC.
NPI 1649821760
Clinic/Center - Rural Health in Shawano, WI

Active since September 20, 2019
100 COUNTY ROAD B, SHAWANO, WI 54166(715) 524-2161(715) 524-8164 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2024, Dec 30, 2020, Sep 20, 2019 (3 updates tracked since 2019).

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 1649821760) is a healthcare organization registered as a rural health in Shawano, Wisconsin and active in the NPI registry since September 2019. The organization lists William Flett, Cfo, as its authorized official.

NPPES Registry Identity

NPI1649821760
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameTHEDACARE MEDICAL CENTER - SHAWANO, INC.
Location Address100 COUNTY ROAD BShawano, WI 54166-7072
Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 454-4229 · Fax (920) 993-5001
Phone(715) 524-2161
Fax(715) 524-8164
Organization SubpartNo
Authorized OfficialWilliam FlettCfo · (920) 454-4013
Enumeration DateSeptember 20, 2019
Last NPPES UpdateJanuary 3, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2024
✔ NPI 1649821760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
100 COUNTY ROAD B, Shawano, WI 54166
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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.

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 1649821760. It was assigned to this organization in the NPPES registry on September 20, 2019.

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) 524-2161.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

What insurance does Thedacare Medical Center - Shawano, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Thedacare Medical Center - Shawano, 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 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.