THEDACARE MEDICAL CENTER - SHAWANO INC. NPI 1265618979

NPI Information

NPI: 1265618979
Provider Name: THEDACARE MEDICAL CENTER - SHAWANO, INC.

Former Legal Business Name: SHAWANO MEDICAL CENTER, INC.

Classification: Medicare Defined Swing Bed Unit - 275N00000X
Entity Type: Organization
Address:
100 COUNTY ROAD B
SHAWANO, WI
ZIP 54166
Phone: (715) 526-2111
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THEDACARE MEDICAL CENTER - SHAWANO, INC. is a medicare defined swing bed unit in Shawano, WI. The provider is 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. THEDACARE MEDICAL CENTER - SHAWANO, INC. NPI is 1265618979. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Shawano Medical Center, Inc..

The provider's business location address is:

100 COUNTY ROAD B
SHAWANO, WI
ZIP 54166-072
Phone: (715) 526-2111
Fax: (715) 526-7308

The provider's authorized official is William Flett .
The authorized official title is Cfo and has the following contact phone number (920) 454-4013.

The enumeration date for this NPI number is 1/11/2008 and was last updated on 1/3/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	275N00000X	Medicare Defined Swing Bed Unit		1051	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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