THEDACARE MEDICAL CENTER - NEW LONDON, INC - NPI 1992848790

Q: What is Thedacare Medical Center - New London, Inc's specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

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About Thedacare Medical Center - New London, Inc NPPES

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

THEDACARE MEDICAL CENTER - NEW LONDON, INC (NPI 1992848790) is a healthcare organization registered as an ambulance in New London, Wisconsin and active in the NPI registry since February 2007. The organization lists William Flett, Cfo, as its authorized official.

NPPES Registry Identity

NPI1992848790

Entity TypeOrganization

Primary Taxonomy341600000X

Legal Business NameTHEDACARE MEDICAL CENTER - NEW LONDON, INC

Location Address1405 MILL STNew London, WI 54961-2155

Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 830-8900 · Fax (920) 830-5910

Phone(920) 531-2092

Fax(920) 531-2098

Organization SubpartNo

Authorized OfficialWilliam FlettCfo · (920) 454-4013

Enumeration DateFebruary 14, 2007

Last NPPES UpdateJanuary 3, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 3, 2024

✔ NPI 1992848790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services

Taxonomy Code341600000X

License✔ Licensed in WI · 60-01246

Definition

An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

1405 MILL ST, New London, WI 54961

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Other Identifiers 1

Medicaid41348200WI

Other Providers at the Same Location NPPES 20

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

SIERRA RENEE KACZOCHA

Physical Therapist