Thedacare, Incorporated in Appleton - Family Medicine
Thedacare, Incorporated - NPI 1376656959
Thedacare, Incorporated is a Family Medicine in Appleton, Wisconsin. Thedacare, Incorporated practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Thedacare, Incorporated is 1376656959. The last update date is 2020-12-30.
Thedacare, Incorporated's current location address is 2809 N Park Drive Ln, Appleton, Wisconsin. You can contact this provider via phone number 9209963298. The mailing address for Thedacare, Incorporated is 2809 N Park Drive Ln, Appleton, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Thedacare, Incorporated |
|---|---|
| Address | 2809 N Park Drive Ln, Appleton, Wisconsin |
| Phone Number | 9209963298 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FINA |
|---|---|
| Authorized Official Name | Thompson S Mark |
| Telephone Number | 9208305885 |
NPI Number Detail
| NPI Number | 1376656959 |
|---|---|
| Provider Enumeration Date | 2006-08-16 |
| Last Updated Date | 2020-12-30 |
Provider Mailing Address Detail
| Address | 2809 N Park Drive Ln |
|---|---|
| City | Appleton |
| State | Wisconsin (WI) |
| Post Code | 549111603 |
| Phone Number | 9209963298 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| WI2721 | WI | MEDICARE PTAN | |
| 32883500 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Thedacare, Incorporated by the Centers for Medicare & Medicaid Services?
The Thedacare, Incorporated has been assigned the NPI (National Provider Identifier) 1376656959. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Thedacare, Incorporated's facilities are geographically located?
The facilities of Thedacare, Incorporated are physically situated at the following location: 2809 N Park Drive Ln, Appleton, WI, 549111603.
What is Thedacare, Incorporated's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Thedacare, Incorporated is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1376656959 to Thedacare, Incorporated?
The Centers for Medicare & Medicaid Services originally issued the 1376656959 to Thedacare, Incorporated on 2006-08-16.
As of what date were the details related to Thedacare, Incorporated most recently updated or revised?
The information pertaining to Thedacare, Incorporated, including its address, specialty, and other relevant details, was last updated or revised on 2020-12-30.