THEDACARE MEDICAL CENTER - WAUPACA, INC. – NPI #1710333893
General Acute Care Hospital

THEDACARE MEDICAL CENTER - WAUPACA, INC. is a general acute care hospital located in WAUPACA, WI. NPPES has assigned the NPI number 1710333893 to THEDACARE MEDICAL CENTER - WAUPACA, INC. on May 09, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is RIVERSIDE MEDICAL CENTER, INC.. The primary taxonomy selected by this provider is 282NC0060X from the Health Care Provider Taxonomy code set, which is classified as General Acute Care Hospital, specializing in Critical Access

The NPI profile was previously updated about 7 years ago on Sep 06, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THEDACARE MEDICAL CENTER - WAUPACA, INC. below.

NPI Profile for
THEDACARE MEDICAL CENTER - WAUPACA, INC.

NPI Number
1710333893
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
THEDACARE MEDICAL CENTER - WAUPACA, INC.
Former Legal Business Name: RIVERSIDE MEDICAL CENTER, INC.
Primary location
N2610 WI 22
WAUPACA, WI 54981
Phone: (715) 258-1021 Fax:
Mailing address
PO BOX 2759
APPLETON, WI 54912-2759
Phone: (715) 258-1000 Fax:
Organization Subpart
Yes - THEDACARE MEDICAL CENTER - WAUPACA, INC. is subpart of another organization.
Authorized Official
MARK THOMPSON
CFO
Phone: (920) 830-5885
Updated
Identifiers

Identifiers for THEDACARE MEDICAL CENTER - WAUPACA, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICARE PTANWI521334
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
282NC0060X
- General Acute Care Hospital / Critical Access (Primary)		 WI 3031

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.