THEDACARE MEDICAL CENTER-BERLIN, INC.
NPI 1942651401
General Acute Care Hospital - Rural in Berlin, WI
NPI Status: Active since June 27, 2016
Contact Information
225 MEMORIAL DR
BERLIN, WI
ZIP 54923
Phone: (920) 361-5534
- Organization
- General Acute Care Hospital
- Rural
- Accepts Insurance
- CLIA Number: 52D0397602
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 10-21-2026
About THEDACARE MEDICAL CENTER-BERLIN, INC.
This page provides the complete NPI Profile along with additional information for Thedacare Medical Center-berlin, Inc., a provider established in Berlin, Wisconsin operating as a General Acute Care Hospital, focusing in rural . The healthcare provider is registered in the NPI registry with number 1942651401 assigned on June 2016. The practitioner's primary taxonomy code is 282NR1301X with license number 13414-24 (WI). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Dale Burkhouse (Director Of Rehabilitation Services)
- NPI
- 1942651401
- Provider Name
- THEDACARE MEDICAL CENTER-BERLIN, INC.
- Entity Type
- Organization
- Location Address
- 225 MEMORIAL DR BERLIN, WI 54923
- Location Phone
- (920) 361-5534
- Mailing Address
- 225 MEMORIAL DR BERLIN, WI 54923
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-27-2016
- Last Update Date
- 01-03-2024
- Code Navigator
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
General Acute Care Hospital Rural
- Taxonomy Code
- 282NR1301X
- Type
- Hospitals
- License No.
- 13414-24
- License State
- WI
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
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D0397602
- Facility Type
- Hospital
- Certificate Effective Date
- October 22, 2024
- Certificate Expiration Date
- October 21, 2026
- Laboratory Director
- DR. REBECCA BUELL-GUTBROD
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Thedacare Medical Center-berlin, Inc. on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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 1942651401, 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 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 59 is 60. 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.
BERLIN, WI 54923
BERLIN, WI 54923
BERLIN, WI 54923
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1942651401, enumerated as an "organization" on June 27, 2016.
The provider is located at 225 MEMORIAL DR BERLIN, WI 54923 and the phone number is (920) 361-5534.
General Acute Care Hospital with taxonomy code 282NR1301X and a focus in Rural.
The provider might be accepting Accepts: CareSource (Common Ground Healthcare). Please consult your insurance carrier or call the provider to verify.
