OrganizationActive
Thedacare Medical Center-Berlin Inc
NPI 1184784159 · Community/Retail Pharmacy · Wautoma, WI
Thedacare Medical Center-Berlin Inc is a Community/Retail Pharmacy organization in Wautoma, WI (NPI 1184784159).
Provider details
- NPI number
- 1184784159
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Alissa Gies, Pharmacist of Record(920) 787-5757
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
N2934 Hwy 22 N
Wautoma, WI 54982-5267
Phone: (920) 787-5757
Fax: (920) 787-5382
Street-level locationGet directions
Mailing address
N2934 Hwy 22 N
Wautoma, WI 54982
Other names (DBA / former)
- Doing business as
- Thedacare Pharmacy - Wautoma
Registry dates
- Enumerated
- 2006-12-11
- Last updated
- 2017-04-18
Frequently asked questions
- What is Thedacare Medical Center-Berlin Inc's NPI number?
- Thedacare Medical Center-Berlin Inc's National Provider Identifier (NPI) is 1184784159, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Thedacare Medical Center-Berlin Inc?
- Thedacare Medical Center-Berlin Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Thedacare Medical Center-Berlin Inc located?
- Thedacare Medical Center-Berlin Inc's practice location on file with NPPES is N2934 Hwy 22 N, Wautoma, WI 54982-5267.
- What is Thedacare Medical Center-Berlin Inc's phone number?
- The practice phone number listed in the NPPES registry for Thedacare Medical Center-Berlin Inc is (920) 787-5757.
- Who is the authorized official for Thedacare Medical Center-Berlin Inc?
- The authorized official listed on Thedacare Medical Center-Berlin Inc's NPPES record is Alissa Gies, Pharmacist of Record. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Thedacare Medical Center-Berlin Inc's NPI active?
- Yes — Thedacare Medical Center-Berlin Inc's NPI (1184784159) is active in the NPPES registry as of the last update on 2017-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.