Organization · Type 2 NPI

Beaver Dam Community Hospitals Inc

Clinic/Center · Beaver Dam, WI

NPI number 1851607972 Active

Practice location

705 S University Ave
Beaver Dam, WI 53916-3053

Call (920) 885-6090 Map

Fax (920) 887-7973

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

31 other providers at this address

Other clinic/center providers in Beaver Dam

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NPI record

NPI: 1851607972
Entity type: Organization (Type 2)
Issued: Aug 26, 2010
Last updated: Mar 3, 2022
Status: Active
Subpart: Yes of Marshfield Clinic Health System Inc

Other names

<unavail>
(inactive) MMC - Beaver Dam Women's Health Center · doing business as

Authorized official

Gordon T Edwards
CFO/coo
(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 1851607972

Beaver Dam Community Hospitals Inc's National Provider Identifier is 1851607972, issued on Aug 26, 2010. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Beaver Dam, WI. The record was last updated on Mar 3, 2022.