Organization · Type 2 NPI

Thedacare Medical Center - Wild Rose, Inc

Medicare Defined Swing Bed Hospital Unit · Wild Rose, WI

NPI number 1730203464 Active

Practice location

601 Grove Avenue
Wild Rose, WI 54984-0243

Call (920) 622-3257 Map

Fax (920) 622-5593

Mailing address

601 Grove Ave
Wild Rose, WI 54984-6903

Specialties and licenses

Taxonomy	Code	License
Medicare Defined Swing Bed Hospital Unit Primary	275N00000X	None listed

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.

Another provider at this address

Wild Rose Community Memorial Hospital Inc dba Waushara Family PhysiciaFamily Medicine Physician Wild Rose, WI NPI 1720029804

NPI record

NPI: 1730203464
Entity type: Organization (Type 2)
Issued: Mar 19, 2007
Last updated: Jan 3, 2024
Status: Active

Other names

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Wild Rose Community Memoiral Hospital, Inc · former legal business name
Wild Rose Community Memoiral Hospital, Inc · former legal business name

Authorized official

Mr. William Flett
CFO
(920) 454-4013

Verify this record

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About NPI 1730203464

Thedacare Medical Center - Wild Rose, Inc's National Provider Identifier is 1730203464, issued on Mar 19, 2007. The primary taxonomy on file is Medicare Defined Swing Bed Hospital Unit (275N00000X), and the practice location is in Wild Rose, WI. The record was last updated on Jan 3, 2024.