Riverside Medical Center, Inc.

LBN: Thedacare Medical Center - Waupaca, Inc.
Riverside Medical Center, Inc. is an health care organization with primary practice located at N2610 Wi 22 , Waupaca WI 54981. The organization recently has only one registered license in Hospitals / Critical Access, which is considered as the primary health care specialty. Thedacare Medical Center - Waupaca, Inc. can be contacted via phone (715) 258-1021, or through Thompson, Mark S via phone (920) 830-5885.

Contact Information

Primary practice address
N2610 Wi 22 Waupaca WI 54981
Phone: (715) 258-1021
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Thompson, Mark S
Phone: (920) 830-5885

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X 3031 Wisconsin

Profile Details

NPI number 1710333893
LBN Legal business name Thedacare Medical Center - Waupaca, Inc.
DBA Doing business as Riverside Medical Center, Inc.
Authorized official Thompson, Mark S
Entity Organization
Organization subpart 1 Yes
Enumeration date May 9th, 2016
Last updated Sep 6th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710333893 NPPES
Wisconsin Other 521334 MEDICARE PTAN

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