Organization · Type 2 NPI

Thedacare Medical Center - Berlin, Inc.

Critical Access Hospital · Wautoma, WI

NPI number 1992159289 Active

Practice location

N2930 State Road 22
Wautoma, WI 54982-5267

Call (920) 361-1313 Map

Mailing address

3 Neenah Ctr
Neenah, WI 54956-3070

Specialties and licenses

Taxonomy	Code	License
Critical Access Hospital Primary	282NC0060X	1060 (WI)

Critical Access Hospital: Definition to come.

6 other providers at this address

NPI record

NPI: 1992159289
Entity type: Organization (Type 2)
Issued: Apr 22, 2016
Last updated: Jan 3, 2024
Status: Active
Subpart: Yes of Thedacare Medical Center - Berlin, Inc.

Other names

<unavail>
Community Health Network, Inc. and Berlin Memorial Hospital · former legal business name
Community Health Network, Inc. and Berlin Memorial Hospital · 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 1992159289

Thedacare Medical Center - Berlin, Inc.'s National Provider Identifier is 1992159289, issued on Apr 22, 2016. The primary taxonomy on file is Critical Access Hospital (282NC0060X), and the practice location is in Wautoma, WI. The record was last updated on Jan 3, 2024.