THEDACARE MEDICAL CENTER - BERLIN, INC. – NPI #1043072291
Pharmacy

THEDACARE MEDICAL CENTER - BERLIN, INC. is a pharmacy located in BERLIN, WI. NPPES recently assigned the NPI number 1043072291 to THEDACARE MEDICAL CENTER - BERLIN, INC. on January 24, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 3336C0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy specializing in Community/Retail Pharmacy

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 - BERLIN, INC. below.

NPI Profile for
THEDACARE MEDICAL CENTER - BERLIN, INC.

NPI Number
1043072291
Created

(about 5 weeks 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 - BERLIN, INC.
Primary location
225 MEMORIAL DR
BERLIN, WI 54923-1243
Phone: (920) 291-5768 Fax:
Mailing address
3 NEENAH CTR
NEENAH, WI 54956-3070
Phone: (920) 454-4229 Fax:
Organization Subpart
No
Authorized Official
WILLIAM FLETT
CFO
Phone: (920) 454-4013
Updated
Certification Date
Jan 24, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
3336C0003X
- Pharmacy / Community/Retail Pharmacy (Primary)

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.