Organization · Type 2 NPI

Beaver Dam Community Hospitals Inc

Pharmacy · Beaver Dam, WI

NPI number 1295771780 Active

Practice location

707 S University Ave
Beaver Dam, WI 53916-3089

Call (920) 887-4053 Map

Mailing address

1000 N Oak Ave, Attn: Provider Enrollment Services Shp FL2
Marshfield, WI 54449-5703

Specialties and licenses

Taxonomy	Code	License
Pharmacy Primary	333600000X	None listed
Institutional Pharmacy	3336I0012X	5344-42 (WI)
Long Term Care Pharmacy	3336L0003X	5344-42 (WI)

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

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NPI record

NPI: 1295771780
Entity type: Organization (Type 2)
Issued: Jun 21, 2006
Last updated: Jul 18, 2025
Status: Active
Subpart: Yes of Marshfield Clinic Health System Inc

Other names

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Hillside Unit Pharmacy (dme) · doing business as

Authorized official

Jolyn Munson
VP Revenue Cycle Operations
(605) 328-6585

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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 1295771780

Beaver Dam Community Hospitals Inc's National Provider Identifier is 1295771780, issued on Jun 21, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Beaver Dam, WI. The record was last updated on Jul 18, 2025.