- Facility Name
- Theda Clark Medical Center
- Provider Number
- 52-0045; 000071445
- Date approved
- 10/21/2005
- State
- WI
- Address 1
- 130 Second Street
- Address 2
- Neenah, WI 54956
- Other Information
- ACS - 02/24/2005; ASMBS - 10/21/2005; Telephone: 920-729-3100; Andrea Wolff - (920) 720-7281