NPI 1548248313

Thedacare Medical Center - Shawano, INC.

Organisation Inpatient Hospice Shawano, WI

Practice location

Address: 100 County Road B, Shawano, WI 54166-7072
Phone: (715) 524-2169
Fax: (715) 526-7140

Authorised official

Name: William Flett
Title: Cfo
Phone: (920) 454-4013

Registered specialties

Inpatient Hospice Primary

Nursing & Custodial Care Facilities Taxonomy 315D00000X Licence 510 (WI)

Other Hospice, Inpatient providers in Wisconsin →

Registry record

NPI: 1548248313
Entity type: Organization
NPI issued: 3 Jan 2006
Record last updated: 3 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.