THEDACARE MEDICAL CENTER - WAUPACA, INC.
NPI 1710333893
General Acute Care Hospital - Critical Access in Waupaca, WI

NPI Status: Active since May 09, 2016

Contact Information

N2610 WI 22
WAUPACA, WI
ZIP 54981
Phone: (715) 258-1021

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  • Organization
  • General Acute Care Hospital
  • Critical Access
  • Accepts Insurance

About THEDACARE MEDICAL CENTER - WAUPACA, INC.

This page provides the complete NPI Profile along with additional information for Thedacare Medical Center - Waupaca, Inc., a provider established in Waupaca, Wisconsin operating as a General Acute Care Hospital, focusing in critical access . The healthcare provider is registered in the NPI registry with number 1710333893 assigned on May 2016. The practitioner's primary taxonomy code is 282NC0060X with license number 3031 (WI). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's former legal business name is Riverside Medical Center, Inc.. The authorized official of this NPI record is Mr. Mark S Thompson (Cfo)

NPI
1710333893
Provider Legal Name
THEDACARE MEDICAL CENTER - WAUPACA, INC.
Other Organization Name
RIVERSIDE MEDICAL CENTER, INC.
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
N2610 WI 22 WAUPACA, WI 54981
Location Phone
(715) 258-1021
Mailing Address
PO BOX 2759 APPLETON, WI 54912
Mailing Phone
(715) 258-1000
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-09-2016
Last Update Date
09-06-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Acute Care Hospital Critical Access

Taxonomy Code
282NC0060X
Type
Hospitals
License No.
3031
License State
WI

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • HMO Bronze $0 Medical Deductible - HMO
  • HMO Bronze 7500 - HMO
  • HMO Catstrophic 9200 with 3 Free PCP Visits - HMO
  • HMO Gold 1500 - HMO
  • HMO Gold 2400 - HMO
  • HMO HDHP Bronze 7200 - HMO
  • HMO HDHP Silver 5400 - HMO
  • HMO Silver 5000 - HMO
  • HMO Silver 6600 - HMO
  • POS Bronze 7500 - POS
  • POS HDHP Bronze 6250 - POS
  • POS Silver 5000 - POS
  • CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
  • CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
  • CGHC Bronze $9200 ($40 PCP Copay) - Envision Network - EPO
  • CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) - EPO
  • CGHC Bronze Standard $7500 - Envision Network - EPO
  • CGHC Bronze Standard $7500 - Envision Network (Vision Exam) - EPO
  • CGHC Catastrophic $9200 - Envision Network - EPO
  • CGHC Gold $0 Ded - Envision Network - EPO
  • CGHC Gold $0 Ded - Envision Network (Vision Exam) - EPO
  • CGHC Gold $3000 - Envision Network - EPO
  • CGHC Gold $3000 - Envision Network (Vision Exam) - EPO
  • CGHC Gold Standard $1500 - Envision Network - EPO
  • CGHC Gold Standard $1500 - Envision Network (Vision Exam) - EPO
  • CGHC Silver $4200 Ded / $5000 Rx Ded - Envision Network - EPO
  • CGHC Silver $4200 Ded / $5000 Rx Ded - Envision Network (Vision Exam) - EPO
  • CGHC Silver $4700 Ded / $6000 Rx Ded - Envision Network - EPO
  • CGHC Silver $4700 Ded / $6000 Rx Ded - Envision Network (Vision Exam) - EPO
  • CGHC Silver Standard $5000 - Envision Network - EPO
  • CGHC Silver Standard $5000 - Envision Network (Vision Exam) - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MARK S THOMPSON

Authorized Official Title
CFO
Authorized Official Phone
(920) 830-5885

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
521334OTHER (01)WIMEDICARE PTAN

Reviews for THEDACARE MEDICAL CENTER - WAUPACA, INC.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1710333893
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2720636818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 6 + 3 + 6 + 8 + 1 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1710333893 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710333893, enumerated in the NPI registry as an "organization" on May 09, 2016

The provider is located at N2610 Wi 22 Waupaca, Wi 54981 and the phone number is (715) 258-1021

This medical organization specializes in General Acute Care Hospital with taxonomy code 282NC0060X with a focus in Critical Access

The provider might be accepting Accepts: Aspirus Health Plan, Common Ground Healthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 09, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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