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Thedacare Medical Center - Shawano, Inc.
Inpatient Hospice in Shawano, Wisconsin
NPI 1548248313

Thedacare Medical Center - Shawano, Inc. is a Inpatient Hospice based in Shawano, WI. Thedacare Medical Center - Shawano, Inc. practices in Shawano, WI. The NPI Number for Thedacare Medical Center - Shawano, Inc. is 1548248313 and holds a License No. 510 (Wisconsin).

The current practice location address for Thedacare Medical Center - Shawano, Inc. is 100 County Road B, Shawano, WI and can be reached out via phone at 715-524-2169 and via fax at 715-526-7140.

Location: 100 County Road B, Shawano, WI, 54166-7072
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548248313
Provider Name
Thedacare Medical Center - Shawano, Inc.
Credential
Provider Entity Type
Organization
Address
100 County Road B, Shawano, WI, 54166-7072
Phone Number
715-524-2169
Fax Number
715-526-7140
Provider Enumeration Date
01/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
43184400 05 WI
institution
Provider Business Practice Location Address Details
Address
100 County Road B
City
Shawano
State
Wisconsin
Zip
54166-7072
Phone Number
715-524-2169
Fax Number
715-526-7140
person
Provider Business Mailing Address Details
Address
100 County Road B
City
Shawano
State
Wisconsin
Zip
54166-7072
Phone Number
715-524-2169
Fax Number
715-526-7140
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Hospice, Inpatient
Speciality
-
Taxonomy
315D00000X
License No.
510 (Wisconsin)
Definition
A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient.
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