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THEDACARE MEDICAL CENTER - BERLIN, INC.
NPI 1992159289
General Acute Care Hospital - Critical Access in Wautoma, WI

Active since April 22, 2016
N2930 STATE ROAD 22, WAUTOMA, WI 54982(920) 361-1313 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2024, Sep 18, 2019, Sep 6, 2019 and 1 more (4 updates tracked since 2016).

About Thedacare Medical Center - Berlin, Inc. NPPES

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

THEDACARE MEDICAL CENTER - BERLIN, INC. (NPI 1992159289), doing business as Community Health Network, Inc. And Berlin Memorial Hospital, is a healthcare organization registered as a critical access in Wautoma, Wisconsin and active in the NPI registry since April 2016. The organization lists William Flett, Cfo, as its authorized official.

NPPES Registry Identity

NPI1992159289
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameTHEDACARE MEDICAL CENTER - BERLIN, INC.
Location AddressN2930 STATE ROAD 22Wautoma, WI 54982-5267
Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 830-5900 · Fax (920) 830-5910
Phone(920) 361-1313
Organization SubpartYes
Authorized OfficialWilliam FlettCfo · (920) 454-4013
Enumeration DateApril 22, 2016
Last NPPES UpdateJanuary 3, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2024
✔ NPI 1992159289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care Hospital · Critical AccessHospitals
Taxonomy Code282NC0060X
License✔ Licensed in WI · 1060
N2930 STATE ROAD 22, Wautoma, WI 54982
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Other Names 1

Former Legal Business NameCommunity Health Network, Inc. And Berlin Memorial Hospital

Other Identifiers 1

Other521355WI · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Other Providers at the Same Location NPPES 4

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

SEAN A TILLERY PT
Physical Therapist
N2930 STATE ROAD 22
WAUTOMA, WI 54982
Waushara County (920) 787-5030
HEARTLAND EMS, INC.
Ambulance (Land Transport)
N2930 STATE ROAD 22
WAUTOMA, WI 54982
Waushara County (920) 787-2291
BAILEY L WEHRLE AT
Specialist/Technologist (Athletic Trainer)
N2930 STATE ROAD 22
WAUTOMA, WI 54982
Waushara County (920) 361-1313
KARISA NICOLE GLOUDEMANS DPT
Physical Therapist
N2930 STATE ROAD 22
WAUTOMA, WI 54982
Waushara County (920) 787-5030

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 - Berlin, Inc.'s NPI number?

The NPI number for Thedacare Medical Center - Berlin, Inc. is 1992159289. It was assigned to this organization in the NPPES registry on April 22, 2016. The provider was formerly known as Community Health Network, Inc. And Berlin Memorial Hospital.

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

Thedacare Medical Center - Berlin, Inc. is located at N2930 State Road 22, Wautoma, WI 54982. The listed phone number is (920) 361-1313.

What is Thedacare Medical Center - Berlin, Inc.'s specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

What insurance does Thedacare Medical Center - Berlin, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Network Health and Quartz and 1 other insurer list Thedacare Medical Center - Berlin, 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 - Berlin, 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.