OrganizationActive
Thedacare Medical Center - Shawano, Inc.
NPI 1720493125 · Clinical Medical Laboratory · Shawano, WI
Thedacare Medical Center - Shawano, Inc. is a Clinical Medical Laboratory organization in Shawano, WI (NPI 1720493125).
Provider details
- NPI number
- 1720493125
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- William Flett, Cfo(920) 454-4013
- License
- 1051 (WI)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
100 County Road B
Shawano, WI 54166-7072
Phone: (715) 526-2111
Fax: (715) 526-7308
Street-level locationGet directions
Mailing address
3 Neenah Ctr
Neenah, WI 54956-3070
Other names (DBA / former)
- Former legal business name
- Shawano Medical Center, Inc.
- Former legal business name
- Shawano Medical Center, Inc.
Registry dates
- Enumerated
- 2014-06-24
- Last updated
- 2024-01-03
- Certified
- 2024-01-03
Frequently asked questions
- What is Thedacare Medical Center - Shawano, Inc.'s NPI number?
- Thedacare Medical Center - Shawano, Inc.'s National Provider Identifier (NPI) is 1720493125, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Thedacare Medical Center - Shawano, Inc.?
- Thedacare Medical Center - Shawano, Inc. is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Thedacare Medical Center - Shawano, Inc. located?
- Thedacare Medical Center - Shawano, Inc.'s practice location on file with NPPES is 100 County Road B, Shawano, WI 54166-7072.
- What is Thedacare Medical Center - Shawano, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Thedacare Medical Center - Shawano, Inc. is (715) 526-2111.
- Who is the authorized official for Thedacare Medical Center - Shawano, Inc.?
- The authorized official listed on Thedacare Medical Center - Shawano, Inc.'s NPPES record is William Flett, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Thedacare Medical Center - Shawano, Inc.'s NPI active?
- Yes — Thedacare Medical Center - Shawano, Inc.'s NPI (1720493125) is active in the NPPES registry as of the last update on 2024-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.