Thedacare Medical Center - Wild Rose, Inc
Thedacare Medical Center - Wild Rose, Inc is a Non-Pharmacy Dispensing Site in Wild Rose, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2017.
- Licensed in
- WI
- In the registry since
- 2017
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
601 Grove AveWild Rose, WI 54984-6903
Phone: (920) 622-3257
Fax: (920) 622-6021
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Non-Pharmacy Dispensing Site (primary) | Taxonomy 332900000X · Licence 1004 (WI) |
|---|
Record details
| NPI number | 1679095293 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Thedacare Medical Center - Wild Rose, Inc |
| Authorized official | William Flett — Cfo · (920) 454-4013 |
| Other names | Wild Rose Community Memorial Hospital Inc |
| NPI enumerated | July 14, 2017 |
| Last updated in NPPES | January 3, 2024 |
| Certification date | January 3, 2024 |
| Mailing address | 6501 City West Pkwy, Eden Prairie, MN 55344-3248 |
Other providers in Wild Rose
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Thedacare Medical Center - Wild Rose, Inc
701 Grove Ave, Wild Rose, WI 54984-6901 · (920) 622-6013