NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Thedacare Medical Center - Wild Rose, Inc

Non-Pharmacy Dispensing Site in Wild Rose, WI · enumerated 2007 · authorized official Jenifer Danzeisen, Clinic Manager/ Director of Nu.

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

National Provider Identifier

1710018817

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Thedacare Medical Center - Wild Rose, Inc
Other name <Unavail>
Practice address 701 Grove Ave, Wild Rose, WI, 54984
Fax (920) 774-1026
Enumeration date Mar 8, 2007
Last updated in NPPES Jul 31, 2015

Taxonomy & classification

332900000X Non-Pharmacy Dispensing Site Suppliers · License 47322-20 (WI) Primary

Authorized official

Name Jenifer Danzeisen
Title Clinic Manager/ Director of Nu

Other identifiers

Identifier Type State Issuer
2115407 Other - PK

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.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Thedacare Medical Center - Wild Rose, Inc?
Thedacare Medical Center - Wild Rose, Inc is registered in NPPES as a Non-Pharmacy Dispensing Site (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-07-31.