THEDACARE MEDICAL CENTER - WILD ROSE, INC
NPI 1679095293
Non-Pharmacy Dispensing Site in Wild Rose, WI

Active since July 14, 2017
601 GROVE AVE, WILD ROSE, WI 54984(920) 622-3257(920) 622-6021 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 3, 2024, Jul 14, 2017 (2 updates tracked since 2017).

About Thedacare Medical Center - Wild Rose, Inc NPPES

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

THEDACARE MEDICAL CENTER - WILD ROSE, INC (NPI 1679095293), doing business as Wild Rose Community Memorial Hospital Inc, is a healthcare organization registered as a non-pharmacy dispensing site in Wild Rose, Wisconsin and active in the NPI registry since July 2017. The organization lists William Flett, Cfo, as its authorized official.

NPPES Registry Identity

NPI1679095293
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameTHEDACARE MEDICAL CENTER - WILD ROSE, INC
Location Address601 GROVE AVEWild Rose, WI 54984-6903
Mailing Address6501 City West PkwyEden Prairie, MN 55344-3248 · (952) 653-2525
Fax(920) 622-6021
Organization SubpartYes
Authorized OfficialWilliam FlettCfo · (920) 454-4013
Enumeration DateJuly 14, 2017
Last NPPES UpdateJanuary 3, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2024
NPI 1679095293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License Licensed in WI · 1004
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.)

601 GROVE AVE, Wild Rose, WI 54984

Other Names 1

Former Legal Business NameWild Rose Community Memorial Hospital Inc

Accepted Insurance

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Acute Care Hospital (Critical Access)
601 GROVE AVE
WILD ROSE, WI 54984
Surgery
601 GROVE AVE
WILD ROSE, WI 54984
Physical Therapist
601 GROVE AVE
WILD ROSE, WI 54984
Occupational Therapist
601 GROVE AVE
WILD ROSE, WI 54984
Family Medicine
601 GROVE AVE
WILD ROSE, WI 54984
Physical Therapist
601 GROVE AVE
WILD ROSE, WI 54984
Emergency Medicine
601 GROVE AVE
WILD ROSE, WI 54984
Emergency Medicine
601 GROVE AVE
WILD ROSE, WI 54984

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 - Wild Rose, Inc's NPI number?

The NPI number for Thedacare Medical Center - Wild Rose, Inc is 1679095293. It was assigned to this organization in the NPPES registry on July 14, 2017. The provider was formerly known as Wild Rose Community Memorial Hospital Inc.

Where is Thedacare Medical Center - Wild Rose, Inc located?

Thedacare Medical Center - Wild Rose, Inc is located at 601 Grove Ave, Wild Rose, WI 54984. The listed phone number is (920) 622-3257.

What is Thedacare Medical Center - Wild Rose, Inc's specialty?

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

What insurance does Thedacare Medical Center - Wild Rose, Inc accept?

Health plans from Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and Avera Health Plans and 20 other insurers list Thedacare Medical Center - Wild Rose, 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 - Wild Rose, Inc was last updated on January 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.