THEDACARE REGIONAL MEDICAL CENTER - APPLETON, INC.
NPI 1861822991
Clinical Medical Laboratory in Appleton, WI
NPI Status: Active since November 27, 2013
Contact Information
1818 N MEADE ST
APPLETON, WI
ZIP 54911
Phone: (920) 731-4101
- Organization
- Clinical Medical Laboratory
- Accepts Insurance
About THEDACARE REGIONAL MEDICAL CENTER - APPLETON, INC.
This page provides the complete NPI Profile along with additional information for Thedacare Regional Medical Center - Appleton, Inc., a provider established in Appleton, Wisconsin operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1861822991 assigned on November 2013. The practitioner's primary taxonomy code is 291U00000X with license number 52D0397435 (WI). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's former legal business name is Appleton Medical Center, Inc.. The authorized official of this NPI record is Mr. William Flett (Cfo)
- NPI
- 1861822991
- Provider Legal Name
- THEDACARE REGIONAL MEDICAL CENTER - APPLETON, INC.
- Other Organization Name
- APPLETON MEDICAL CENTER, INC.
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 1818 N MEADE ST APPLETON, WI 54911
- Location Phone
- (920) 731-4101
- Mailing Address
- 3 NEENAH CTR NEENAH, WI 54956
- Mailing Phone
- (920) 830-5900
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-27-2013
- Last Update Date
- 01-02-2024
- Code Navigator
Establishments like Thedacare Regional Medical Center - Appleton, Inc. are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinical Medical Laboratory
- Taxonomy Code
- 291U00000X
- Type
- Laboratories
- License No.
- 52D0397435
- License State
- WI
- Taxonomy Description
- (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded - EPO
- CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded - Vision Exam - EPO
- CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) - EPO
- CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) - Vision Exam - EPO
- CareSource (Common Ground Healthcare) Bronze Standard $7500 - EPO
- CareSource (Common Ground Healthcare) Bronze Standard $7500 - Vision Exam - EPO
- CareSource (Common Ground Healthcare) Gold $0 Ded - EPO
- CareSource (Common Ground Healthcare) Gold $0 Ded - Vision Exam - EPO
- CareSource (Common Ground Healthcare) Gold $3300 - EPO
- CareSource (Common Ground Healthcare) Gold $3300 - Vision Exam - EPO
- CareSource (Common Ground Healthcare) Gold Standard $2000 - EPO
- CareSource (Common Ground Healthcare) Gold Standard $2000 - Vision Exam - EPO
- CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - EPO
- CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - Vision Exam - EPO
- CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded - EPO
- CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded - Vision Exam - EPO
- CareSource (Common Ground Healthcare) Silver Standard $6000 - EPO
- CareSource (Common Ground Healthcare) Silver Standard $6000 - Vision Exam - EPO
- Oak $1,300 Gold - PPO
- Oak $2,000 Standard Gold - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100032956 | MEDICAID (05) | WI |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1861822991, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 69 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
APPLETON, WI 54911
APPLETON, WI 54911
APPLETON, WI 54911
APPLETON, WI 54911
APPLETON, WI 54911
APPLETON, WI 54911
APPLETON, WI 54911
APPLETON, WI 54911
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861822991, enumerated as an "organization" on November 27, 2013.
The provider is located at 1818 N MEADE ST APPLETON, WI 54911 and the phone number is (920) 731-4101.
Clinical Medical Laboratory with taxonomy code 291U00000X.
The provider might be accepting Accepts: CareSource (Common Ground Healthcare),. Please consult your insurance carrier or call the provider to verify.
