Beaver Dam Community Hospitals INC
NPI #1720202864 in Beaver Dam, Wisconsin
Provider Information
- NPI Number
- 1720202864
- 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
- Pharmacy
- Enumeration Date
- Apr 12, 2007
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- 707 S UNIVERSITY AVE
- City
- Beaver Dam
- State
- Wisconsin
- ZIP Code
- 53916-3027
- Phone
- (920) 887-4146
Authorized Official
- Name
- GORDON T EDWARDS
- Title
- CFO/COO/AO
- Phone
- (715) 387-5823
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Acute Care Hospital |
| Pharmacy |
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