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Thedacare Medical Center - Wild Rose, Inc — NPI 1730203464, Wild Rose, WI | NPI Central

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NPI 1730203464

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Thedacare Medical Center - Wild Rose, Inc

NPI 1730203464 · Medicare Defined Swing Bed Hospital Unit · Wild Rose, WI

Provider details

NPI number: 1730203464
Entity type: Organization
Primary specialty: Medicare Defined Swing Bed Hospital UnitHospital Units
Organization subpart: No
Authorized official: William Flett, Cfo(920) 454-4013

Specialties & taxonomies

Medicare Defined Swing Bed Hospital UnitPrimary275N00000X
Hospital Units

Practice location

601 Grove Avenue

Wild Rose, WI 54984-0243

Phone: (920) 622-3257

Fax: (920) 622-5593

Approximate (ZIP-level) locationGet directions

More WI providers

Mailing address

601 Grove Ave

Wild Rose, WI 54984-6903

Other names (DBA / former)

Former legal business name: Wild Rose Community Memoiral Hospital, Inc
Former legal business name: Wild Rose Community Memoiral Hospital, Inc

Registry dates

Enumerated: 2007-03-19
Last updated: 2024-01-03
Certified: 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.