THEDACARE REGIONAL MEDICAL CENTER-APPLETON,INC.


Address: 1818 N Meade St, Appleton, WI 54911-3454
Phone: 9207314101

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory 52D0397435 WI Laboratories

Other Provider Identifier

State Issuer Identifier Type Code
WI 100032956 05

Other Provider/Organization Names

Other Name Type Code
Appleton Medical Center, Inc. Former Legal Business Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 1818 N MEADE ST
City APPLETON
State WI
Zip Code 54911-3454

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407091101 Options Lab, Inc. Clinical Medical Laboratory 4000 W Spencer St, Appleton, WI 54914-4015 2008-12-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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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Competitor

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City APPLETON
Zip Code 54911

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Dataset Information

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.

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