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THEDACARE MEDICAL CENTER - SHAWANO, INC.

Hospice, Inpatient

Shawano, Wisconsin

Provider NPI: 1548248313

Organization Information:
Organization Name:  THEDACARE MEDICAL CENTER - SHAWANO, INC.


Practice Location:
100 COUNTY ROAD B  SHAWANO, WI 54166 US
Tel: 715-524-2169  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315D00000XNursing & Custodial Care Facilities
Hospice, Inpatient
WI510

Other Provider Identifiers:

IssuerNumberStateType
43184400WI05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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