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Contact Information

THEDACARE, INCORPORATED
1818 N MEADE ST
APPLETON, WI54911-3454
 Phone: 920-969-0919
 Fax: 920-730-3433
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for THEDACARE, INCORPORATED

NPI # 1699861617
LBN Legal business name THEDACARE, INCORPORATED
Authorized official WILLIAM FLETT - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/05/2006
Last updated 01/02/2024 - About 2 years ago
Identifiers
WI License # 7196-042
WI Medicaid 33228200
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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