Organization · Type 2 NPI

Thedacare Medical Center - Shawano, Inc.

Medicare Defined Swing Bed Hospital Unit · Shawano, WI

NPI number 1265618979 Active

Practice location

100 County Road B
Shawano, WI 54166-7072

Call (715) 526-2111 Map

Fax (715) 526-7308

Mailing address

3 Neenah Ctr
Neenah, WI 54956-3070

Specialties and licenses

Taxonomy	Code	License
Medicare Defined Swing Bed Hospital Unit Primary	275N00000X	1051 (WI)

Medicare Defined Swing Bed Hospital Unit: A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.

108 other providers at this address

NPI record

NPI: 1265618979
Entity type: Organization (Type 2)
Issued: Jan 11, 2008
Last updated: Jan 3, 2024
Status: Active

Other names

<unavail>
Shawano Medical Center, Inc. · former legal business name
Shawano Medical Center, Inc. · former legal business name

Authorized official

William Flett
CFO
(920) 454-4013

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1265618979

Thedacare Medical Center - Shawano, Inc.'s National Provider Identifier is 1265618979, issued on Jan 11, 2008. The primary taxonomy on file is Medicare Defined Swing Bed Hospital Unit (275N00000X), and the practice location is in Shawano, WI. The record was last updated on Jan 3, 2024.