THEDACARE REGIONAL MEDICAL CENTER-APPLETON,INC. (NPI# 1861822991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861822991 |
Entity Type | Organization |
Organization Name | THEDACARE REGIONAL MEDICAL CENTER-APPLETON,INC. |
Other Organization Name | APPLETON MEDICAL CENTER, INC. |
Practice Address |
1818 N Meade St Appleton WI 54911-3454 |
Mailing Address |
Po Box 2759 Appleton WI 54912-2759 |
Practice Telephone | 9207314101 |
Mailing Telephone | 9208305900 |
Mailing Fax Number | 9208305910 |
Enumeration Date | 2013-11-27 |
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 291U00000X | Clinical Medical Laboratory | 52D0397435 | WI | Laboratories |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 100032956 | 05 |
Other Name | Type Code |
---|---|
Appleton Medical Center, Inc. | Former Legal Business Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902832306 | Thedacare Regional Medical Center-appleton,inc. | General Acute Care Hospital | 1818 N Meade St, Appleton, WI 54911-3454 | 2006-06-25 |
Street Address |
1818 N MEADE ST |
City | APPLETON |
State | WI |
Zip Code | 54911-3454 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588666853 | Appleton Emergency Services S C | Emergency Medicine | 1818 N Meade St, Appleton, WI 54911-3454 | 2005-06-01 |
1720691553 | Katie Jo Bares | Physical Therapist | 1818 N Meade St, Appleton, WI 54911-3454 | 2020-08-31 |
1306454053 | Samantha L Thiede | Nurse Practitioner | 1818 N Meade St, Appleton, WI 54911-3454 | 2020-07-20 |
1346867272 | Lauren Renee Schauer | Registered Nurse | 1818 N Meade St, Appleton, WI 54911-3454 | 2020-06-26 |
1790309755 | Lane Baumbach | Dietitian, Registered | 1818 N Meade St, Appleton, WI 54911-3454 | 2020-06-04 |
1326661026 | Thedacare Regional Medical Center - Appleton, Inc. | Medicare Defined Swing Bed Unit | 1818 N Meade St, Appleton, WI 54911-3454 | 2020-05-28 |
1568095016 | Samantha Putzer | Physician Assistant | 1818 N Meade St, Appleton, WI 54911-3454 | 2020-02-12 |
1083245120 | Krystina L Putnam | Registered Nurse | 1818 N Meade St, Appleton, WI 54911-3454 | 2020-01-28 |
1366097040 | Kelsey G Alt | Physician Assistant | 1818 N Meade St, Appleton, WI 54911-3454 | 2019-08-08 |
1528611217 | Abigail M Witthuhn | Physician Assistant | 1818 N Meade St, Appleton, WI 54911-3454 | 2019-07-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912545633 | Brotherly Love, LLC | Day Training, Developmentally Disabled Services | 1513 E Frances St, Appleton, WI 54911 | 2019-12-12 |
1952952129 | Eagle Point Senior Living Inc | Assisted Living Facility | 995 East John Street, Appleton, WI 54911 | 2019-09-27 |
1619524766 | University Rx LLC | Pharmacy | 133 E College Ave, Appleton, WI 54911 | 2019-08-23 |
1174080063 | Shayla Russell | Counselor | Outagamie County Health and Human Services, 320 S. Walnut St., Appleton, WI 54911 | 2019-02-27 |
1871086645 | Megan Kilsdonk | Health Educator | 1604 N Meade St, Appleton, WI 54911 | 2018-06-07 |
1871085480 | Tanya Lynn Vickery | Social Worker | 410 S. Elm St., Appleton, WI 54911 | 2018-05-31 |
1013407501 | Teri G Metropulos | Counselor | 229 S. Morrison, Appleton, WI 54911 | 2018-05-10 |
1093211211 | Bonnie Anne Korytkowski | Student in an Organized Health Care Education/Training Program | 229 S. Morrison Street, Appleton, WI 54911 | 2018-04-05 |
1639673940 | Brett Follett | Psychologist | 401 S. Elm St., Appleton, WI 54911 | 2018-03-21 |
1700202892 | Brian Withrow | Counselor | 607 West 7th St., Appleton, WI 54911 | 2014-03-13 |
Find all providers in zip 54911 |
Taxonomy Code | 291U00000X |
Grouping | Laboratories |
Classification | Clinical Medical Laboratory |
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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---|---|---|---|---|
1407091101 | Options Lab, Inc. | Clinical Medical Laboratory | 4000 W Spencer St, Appleton, WI 54914-4015 | 2008-12-09 |
NPI | Name | Taxonomy | Address | Enumeration |
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1699382481 | Elicia A Liebe | Clinical Medical Laboratory | 4733 W Montana St, Milwaukee, WI 53219-3375 | 2020-09-26 |
1881203826 | Quest Diagnostics LLC Il | Clinical Medical Laboratory | 4852 S 6th St, Milwaukee, WI 53221-2462 | 2020-07-27 |
1043854144 | Stemina Biomarker Discovery, Inc. | Clinical Medical Laboratory | 504 S Rosa Rd Ste 150, Madison, WI 53719-1218 | 2019-10-31 |
1881238269 | Derek Raymond Schindler | Clinical Medical Laboratory | 680 Baker Rd, Hudson, WI 54016-7901 | 2019-10-29 |
1487296307 | Exact Sciences Laboratories, LLC | Clinical Medical Laboratory | 650 Forward Drive, Madison, WI 53711 | 2019-10-11 |
1003391269 | Precise Testing LLC | Clinical Medical Laboratory | 6815 W Capitol Dr Ste 105, Milwaukee, WI 53216-2056 | 2018-10-03 |
1992286074 | Rprd Diagnostics LLC | Clinical Medical Laboratory | 1225 Discovery Parkway, Suite 260, Milwaukee, WI 53226 | 2018-08-27 |
1164938916 | Tai Diagnostics, Inc. | Clinical Medical Laboratory | 10101 W Innovation Dr Ste 600, Wauwatosa, WI 53226-4824 | 2017-12-15 |
1831619535 | Laboratory Corporation of America | Clinical Medical Laboratory | 1111 Delafield St Ste 301, Waukesha, WI 53188-3407 | 2017-06-23 |
1558896498 | Noah Associates Incorporated | Clinical Medical Laboratory | 10501 W Greenfield Ave, West Allis, WI 53214-2421 | 2017-04-28 |
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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.