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Thedacare Medical Center - Wild Rose, Inc

Non-Pharmacy Dispensing Site in Wild Rose, WI · enumerated 2017 · authorized official William Flett, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1679095293

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Registry record

Entity type Organization (Type 2)
Legal business name Thedacare Medical Center - Wild Rose, Inc
Other name <Unavail>
Parent organization Thedacare Medical Center - Wild Rose, Inc
Practice address 601 Grove Ave, Wild Rose, WI, 54984
Fax (920) 622-6021
Enumeration date Jul 14, 2017
Last updated in NPPES Jan 3, 2024

Taxonomy & classification

332900000X Non-Pharmacy Dispensing Site Suppliers · License 1004 (WI) Primary

Authorized official

Name William Flett
Title Cfo

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-01-03. Verify at npiregistry.cms.hhs.gov.
Where is Thedacare Medical Center - Wild Rose, Inc located?
The practice location on file with NPPES is in Wild Rose, WI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-01-03.