Organization · Type 2 NPI

Thedacare Regional Medical Center - Neenah, Inc

Non-Pharmacy Dispensing Site · Neenah, WI

NPI number 1407271992 Active

Practice location

130 2nd St
Neenah, WI 54956-2883

Call (920) 729-3100 Map

Mailing address

6501 City West Pkwy
Eden Prairie, MN 55344-3248

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	None listed

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

245 other providers at this address

NPI record

NPI: 1407271992
Entity type: Organization (Type 2)
Issued: Feb 20, 2014
Last updated: Jan 2, 2024
Status: Active
Subpart: Yes of Theda Clark Medical Center Inc.

Other names

<unavail>
Theda Clark Medical Center, Inc · former legal business name

Authorized official

Wlliam 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 1407271992

Thedacare Regional Medical Center - Neenah, Inc's National Provider Identifier is 1407271992, issued on Feb 20, 2014. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Neenah, WI. The record was last updated on Jan 2, 2024.