| Organization Name: | THEDACARE MEDICAL CENTER - WAUPACA, INC. |
| NPI Number: | 1073799664 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CRAIG A KANTOS (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 800 Riverside Dr Waupaca |
| State: | WI US |
| Postal Code: | 549811943 |
| Phone Number: | 7152581000 |
| Fax Number: | 7152581626 |
| NPI Enumeration Date: | 01/14/2008 |
| NPI Last Update Date: | 07/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 3031 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |