THEDACARE MEDICAL CENTER - SHAWANO, INC.
NPI 1710206636
Non-Pharmacy Dispensing Site in Eden Prairie, MN

Active since May 18, 2010
6501 CITY WEST PKWY, EDEN PRAIRIE, MN 55344(715) 526-7328 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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 1710206636), doing business as Shawano Medical Center, Inc, is a healthcare organization registered as a non-pharmacy dispensing site in Eden Prairie, Minnesota and active in the NPI registry since May 2010. The organization lists William Flett, Cfo, as its authorized official.

NPPES Registry Identity

NPI1710206636
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameTHEDACARE MEDICAL CENTER - SHAWANO, INC.
Location Address6501 CITY WEST PKWYEden Prairie, MN 55344-3248
Mailing Address100 County Road BShawano, WI 54166-7072 · (715) 526-7328
Organization SubpartYes
Authorized OfficialWilliam FlettCfo · (920) 454-4013
Enumeration DateMay 18, 2010
Last NPPES UpdateJanuary 3, 2024
NPPES CertifiedJanuary 3, 2024
NPI 1710206636 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.)
6501 CITY WEST PKWY, Eden Prairie, MN 55344

Other Names 1

Former Legal Business NameShawano Medical Center, Inc

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Non-Pharmacy Dispensing Site
6501 CITY WEST PKWY
EDEN PRAIRIE, MN 55344
Pharmacy (Community/Retail Pharmacy)
6501 CITY WEST PKWY
EDEN PRAIRIE, MN 55344
Non-Pharmacy Dispensing Site
6501 CITY WEST PKWY
EDEN PRAIRIE, MN 55344

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 1710206636. It was assigned to this organization in the NPPES registry on May 18, 2010. The provider was formerly known as Shawano Medical Center, Inc.

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

Thedacare Medical Center - Shawano, Inc. is located at 6501 City West Pkwy, Eden Prairie, MN 55344. The listed phone number is (715) 526-7328.

What is Thedacare Medical Center - Shawano, 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 - Shawano, 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 22 other insurers 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.