Organization · Type 2 NPI

Beaver Dam Community Hospitals Inc

Clinic/Center · Beaver Dam, WI

NPI number 1972188555 Active

Practice location

707 S University Ave
Beaver Dam, WI 53916-3027

Call (920) 887-7181 Map

Mailing address

1000 N Oak Ave, Provider Enrollment Services - Shp Fl 2
Marshfield, WI 54449-5703

Specialties and licenses

Taxonomy	Code	License
Optician	156FX1800X	None listed
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).

90 other providers at this address

Other clinic/center providers in Beaver Dam

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NPI record

NPI: 1972188555
Entity type: Organization (Type 2)
Issued: Mar 15, 2021
Last updated: Apr 14, 2026
Status: Active
Subpart: Yes of Marshfield Clinic Health System Inc

Other names

<unavail>
Marshfield Medical Center - Beaver Dam Professional Services · doing business as
Marshfield Medical Center - Beaver Dam Professional Services · 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 1972188555

Beaver Dam Community Hospitals Inc's National Provider Identifier is 1972188555, issued on Mar 15, 2021. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Beaver Dam, WI. The record was last updated on Apr 14, 2026.