Beaver Dam Community Hospitals INC
NPI #1295305860 in Beaver Dam, Wisconsin
Provider Information
- NPI Number
- 1295305860
- Entity Type
- Organization
- Organization Name
- Beaver Dam Community Hospitals INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MARSHFIELD CLINIC HEALTH SYSTEM INC
- Primary Specialty
- Clinic/Center - Sleep Disorder Diagnostic
- Enumeration Date
- Jun 28, 2021
- Last Updated
- Mar 2, 2022
Practice Location
- Address
- 919 S UNIVERSITY AVE
- City
- Beaver Dam
- State
- Wisconsin
- ZIP Code
- 53916-3001
- Phone
- (920) 887-4320
Authorized Official
- Name
- GORDON T EDWARDS
- Title
- CFO/COO/AO
- Phone
- (715) 387-5823
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Sleep Disorder Diagnostic — Sleep Disorder Diagnostic |
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