Organization · Type 2 NPI

Beaver Dam Community Hosptials Inc

Family Medicine Physician · Columbus, WI

NPI number 1275833659 Active

Practice location

1580 W James St
Columbus, WI 53925-1001

Call (920) 350-0235 Map

Mailing address

1000 N Oak Ave, Attn: Provider Enrollment Services/wwp
Marshfield, WI 54449-5703

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: 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 is not limited by age, sex, organ system, or disease entity.

NPI record

NPI: 1275833659
Entity type: Organization (Type 2)
Issued: Nov 1, 2010
Last updated: May 25, 2022
Status: Active
Subpart: Yes of Marshfield Clinic Health System Inc

Other names

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(inactive) Marshfield Medical Center - Beaver Dam Columbus Center · doing business as

Authorized official

Gordon T Edwards
CFO/coo/ao
(715) 387-5823

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1275833659

Beaver Dam Community Hosptials Inc's National Provider Identifier is 1275833659, issued on Nov 1, 2010. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Columbus, WI. The record was last updated on May 25, 2022.