THEDCARE REGIONAL MEDICAL CENTER - NEENAH, INC. (NPI# 1679937494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679937494 |
| Entity Type | Organization |
| Organization Name | THEDCARE REGIONAL MEDICAL CENTER - NEENAH, INC. |
| Other Organization Name | THEDA CLARK MEDICAL CENTER, INC. |
| Practice Address |
2400 Witzel Ave Suite C Oshkosh WI 54904-8374 |
| Mailing Address |
Po Box 2759 Appleton WI 54912-2759 |
| Practice Telephone | 9208305900 |
| Practice Fax Number | 9208305910 |
| Mailing Telephone | 9208305900 |
| Mailing Fax Number | 9208305910 |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2019-09-17 |
| Authorized Official Name | MR. MARK S THOMPSON (CFO) |
| Authorized Official Telephone | 9208305885 |
| Is Organization Subpart | Y |
| Parent Organization Name | THEDACARE REGIONAL MEDICAL CENTER - NEENAH, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 32 | WI | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | MEDICARE PTAN | 520045 | 01 |
| Other Name | Type Code |
|---|---|
| THEDA CLARK MEDICAL CENTER, INC. | Former Legal Business Name - Organization |
| Street Address |
2400 WITZEL AVE SUITE C |
| City | OSHKOSH |
| State | WI |
| Zip Code | 54904-8374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669695284 | Fox Valley Plastic Surgery, S.c. | Plastic Surgery | 2400 Witzel Ave, Suite A, Oshkosh, WI 54904-8369 | 2007-04-11 |
| 1407154354 | Amanda S Olsen | Physician Assistant | 2400 Witzel Ave, Ste. A, Oshkosh, WI 54904-8374 | 2011-03-02 |
| 1841500725 | Kate M Myers | Physician Assistant | 2400 Witzel Ave, Suite A, Oshkosh, WI 54904-8374 | 2010-10-13 |
| 1508032004 | Fox Valley Women's Health Services, Sc | Obstetrics & Gynecology | 2400 Witzel Ave, Oshkosh, WI 54904 | 2008-05-05 |
| 1134330533 | Renaissance Surgery Center LLC | Clinic/Center | 2400 Witzel Ave, Suite C, Oshkosh, WI 54904-8369 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326567140 | Mary Kay Benotsch | Registered Nurse | 505 South Washburn Street, Oshkosh, WI 54904 | 2017-09-13 |
| 1295278356 | Braden Williams | Nurse Anesthetist, Certified Registered | 955 Pheasant Creek Dr, Oshkosh, WI 54904 | 2016-11-22 |
| 1740651330 | Ams of Wisconsin - Oshkosh | Clinic/Center | 595 South Washburn St, Oshkosh, WI 54904 | 2015-10-08 |
| 1174990253 | Kaochi Desjheannette Vang | Occupational Therapist | Aurora Medical Center of Oshkosh - Rehab, 855 N. Westhaven Drive, Oshkosh, WI 54904 | 2015-08-25 |
| 1326453200 | Chey V Collura | Surgery | 2700 W 9th Ave Ste 310, Oshkosh, WI 54904 | 2014-06-30 |
| 1275847543 | Eden Rehabilitation Suites and Green House Homes, Inc. | Skilled Nursing Facility | 3151 Eden Court, Oshkosh, WI 54904 | 2010-07-29 |
| 1700043502 | Eric Koehler | Physical Therapist | 3475 Omro Rd Ste 300, Oshkosh, WI 54904 | 2008-05-20 |
| 1831396167 | Angela Marie Wade | Behavioral Analyst | 2986 Fitchburg Ct., Oshkosh, WI 54904 | 2007-06-29 |
| 1174642383 | Michael Gerard Bell | Dentist | 1795 West Pointe Dr, Oshkosh, WI 54904 | 2007-03-28 |
| 1235253030 | Jessica Anne Bielmeier | Registered Nurse | 2700 West 9th Ave #125, Oshkosh, WI 54904 | 2007-03-19 |
| Find all providers in zip 54904 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912527193 | Ascension Ne Wisconsin, Inc | General Acute Care Hospital | 500 S Oakwood Rd, Oshkosh, WI 54904-7944 | 2020-04-17 |
| 1861943409 | Thedacare Regional Medical Center-neenah, Inc. | General Acute Care Hospital | 600 N Westhaven Dr, Oshkosh, WI 54904-6926 | 2016-10-19 |
| 1023065356 | Mercy Medical Center of Oshkosh, Inc. | General Acute Care Hospital | 500 S Oakwood Rd, Oshkosh, WI 54904-7944 | 2006-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938510 | Ascension Wisconsin Emerus Menomonee Falls, LLC | General Acute Care Hospital | 4935 S 76th St Ste 100, Milwaukee, WI 53220-4305 | 2020-10-08 |
| 1225635592 | Ascension Wisconsin Emerus Menomonee Falls, LLC | General Acute Care Hospital | 2304 W Saint Paul Ave Ste 100, Waukesha, WI 53188-5942 | 2020-10-08 |
| 1740805423 | Froedtert Health Neighborhood Hospital, LLC | General Acute Care Hospital | 209 Pewaukee Rd, Pewaukee, WI 53072 | 2020-06-09 |
| 1952921405 | Aspirus Wausau Hospital, Inc | General Acute Care Hospital | 2720 Plaza Dr Ste 1400, Wausau, WI 54401-4166 | 2020-04-24 |
| 1376197665 | Mchs Hospitals, Inc. | General Acute Care Hospital | 9576 Highway 70, Minocqua, WI 54548 | 2019-07-25 |
| 1952809816 | Mchs Hospitals, Inc. | General Acute Care Hospital | 2310 Craig Rd, Eau Claire, WI 54701-6128 | 2018-01-25 |
| 1003349028 | Ditte Primdahl | General Acute Care Hospital | 1685 Highland, Madison, WI 53705-2281 | 2017-04-06 |
| 1194278952 | Aurora Health Care | General Acute Care Hospital | 9200 W Loomis Rd Ste 107, Franklin, WI 53132-9621 | 2016-07-28 |
| 1093171498 | Mchs Hospitals, Inc. | General Acute Care Hospital | 1001 N. Oak Ave, Marshfield, WI 54449 | 2016-01-14 |
| 1841656188 | Wheaton Franciscan Home Health | General Acute Care Hospital | 4300 Brown Deer Road, Brown Deer, WI 53223-2410 | 2015-12-31 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.