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WILD ROSE COMMUNITY MEMORIAL HOSPITAL INC DBA WAUSHARA FAMILY PHYSICIA
NPI 1720029804
Family Medicine in Wild Rose, WI

Active since June 09, 2006
601 GROVE AVENUE, WILD ROSE, WI 54984(920) 622-5560 Get Directions Write a Review

NPPES record last updated: March 18, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wild Rose Community Memorial Hospital Inc Dba Waushara Family Physicia NPPES

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

WILD ROSE COMMUNITY MEMORIAL HOSPITAL INC DBA WAUSHARA FAMILY PHYSICIA (NPI 1720029804) is a healthcare organization registered as a family medicine in Wild Rose, Wisconsin and active in the NPI registry since June 2006. The organization lists Donald Caves, President, as its authorized official.

NPPES Registry Identity

NPI1720029804
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWILD ROSE COMMUNITY MEMORIAL HOSPITAL INC DBA WAUSHARA FAMILY PHYSICIA
Location Address601 GROVE AVENUEWild Rose, WI 54984-0243
Mailing Address701 Grove AveWild Rose, WI 54984-0243 · (920) 622-5560
Phone(920) 622-5560
Organization SubpartNo
Authorized OfficialDonald CavesPresident · (920) 622-5576
Enumeration DateJune 9, 2006
Last NPPES UpdateMarch 18, 2013
✔ NPI 1720029804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
601 GROVE AVENUE, Wild Rose, WI 54984
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Other Identifiers 1

Medicaid32829100WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

THEDACARE MEDICAL CENTER - WILD ROSE, INC
Medicare Defined Swing Bed Unit
601 GROVE AVENUE
WILD ROSE, WI 54984
Waushara County (920) 622-3257

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 Wild Rose Community Memorial Hospital Inc Dba Waushara Family Physicia's NPI number?

The NPI number for Wild Rose Community Memorial Hospital Inc Dba Waushara Family Physicia is 1720029804. It was assigned to this organization in the NPPES registry on June 9, 2006.

Where is Wild Rose Community Memorial Hospital Inc Dba Waushara Family Physicia located?

Wild Rose Community Memorial Hospital Inc Dba Waushara Family Physicia is located at 601 Grove Avenue, Wild Rose, WI 54984. The listed phone number is (920) 622-5560.

What is Wild Rose Community Memorial Hospital Inc Dba Waushara Family Physicia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Wild Rose Community Memorial Hospital Inc Dba Waushara Family Physicia was last updated on March 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.