BEAVER DAM COMMUNITY HOSPITALS INC (NPI# 1295771780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295771780 |
| Entity Type | Organization |
| Organization Name | BEAVER DAM COMMUNITY HOSPITALS INC |
| Other Organization Name | HILLSIDE UNIT PHARMACY |
| Practice Address |
707 S University Ave Beaver Dam WI 53916 |
| Mailing Address |
707 S University Ave Beaver Dam WI 53916-3027 |
| Practice Telephone | 9208874038 |
| Practice Fax Number | 9208876613 |
| Mailing Telephone | 9208877181 |
| Mailing Fax Number | 9208877973 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2020-01-14 |
| Authorized Official Name | JOSEPH GILENE (INTERIM CAO) |
| Authorized Official Telephone | 9208877181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
5344-42 | WI | Suppliers |
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
5344-42 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 5111923 | 05 | |
| PK | 2113624 | 01 |
| Other Name | Type Code |
|---|---|
| HILLSIDE UNIT PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275902546 | Beaver Dam Community Hospitals Inc | Pharmacy | 705 S University Ave Ste 180, Beaver Dam, WI 53916 | 2015-09-17 |
| 1538491998 | Beaver Dam Community Hospitals Inc | Family Medicine | 130 Warren St Ste 132, Beaver Dam, WI 53916 | 2010-02-09 |
| 1992212062 | Beaver Dam Community Hospitals Inc | Internal Medicine | 707 S University Ave, Wound Clinic, Beaver Dam, WI 53916 | 2018-01-10 |
| 1740704089 | Beaver Dam Community Hospitals Inc | Specialist | 705 S University Ave Ste 150, Beaver Dam, WI 53916 | 2017-07-28 |
| 1306389408 | Beaver Dam Community Hospitals Inc | Chiropractor | 211 Corporate Dr, Suite H, Beaver Dam, WI 53916 | 2016-11-22 |
| 1235541202 | Beaver Dam Community Hospitals Inc | Hospitalist | 707 S University Ave, Beaver Dam, WI 53916 | 2014-05-27 |
| 1851607972 | Beaver Dam Community Hospitals Inc | Obstetrics & Gynecology | 707 S University Ave, Beaver Dam, WI 53916 | 2010-08-26 |
| Street Address |
707 S UNIVERSITY AVE |
| City | BEAVER DAM |
| State | WI |
| Zip Code | 53916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316941701 | Mary Ann Chambers | Nurse Practitioner | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2005-06-13 |
| 1851901466 | Quest Diagnostics LLC Il | Pathology | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2020-08-07 |
| 1700350683 | Devyn Beaugh | Pharmacist | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2019-01-14 |
| 1871091207 | Ryan Patrick Gallagher | Physician Assistant | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2018-01-31 |
| 1992212062 | Beaver Dam Community Hospitals Inc | Internal Medicine | 707 S University Ave, Wound Clinic, Beaver Dam, WI 53916 | 2018-01-10 |
| 1720590763 | Ellen Joyce Ellingsworth | Dietitian, Registered | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2017-10-31 |
| 1265984413 | Kayla Sharpee | Physical Therapist | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2016-11-03 |
| 1427506096 | Jami Nicole Burg | Physician Assistant | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2016-09-13 |
| 1619420932 | Caleb Mabis | Physician Assistant | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2016-08-03 |
| 1245680511 | Benjamin Williams | Physical Therapist | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2016-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538718283 | Paulette Neibauer | Technician | N7262 Farwell Rd., Beaver Dam, WI 53916 | 2019-09-05 |
| 1902336597 | Tricounty Homecare Inc | In Home Supportive Care | 140 Corporate Dr Ste 2, Beaver Dam, WI 53916 | 2017-06-15 |
| 1528502754 | Jessica Marie Blatz | Counselor | 809 Park Aveune, Beaver Dam, WI 53916 | 2016-12-07 |
| 1376090886 | Beaver Dam Hearing Care, LLC | Hearing Aid Equipment | 705 University Ave, Suite 170, Beaver Dam, WI 53916 | 2016-09-01 |
| 1275902546 | Beaver Dam Community Hospitals Inc | Pharmacy | 705 S University Ave Ste 180, Beaver Dam, WI 53916 | 2015-09-17 |
| 1609242825 | Tami Joe Delisle | Counselor | 207 North Spring Street, Beaver Dam, WI 53916 | 2015-08-12 |
| 1366833394 | Beaver Dam Community Hospitals, Inc | Surgery | 705 S University Ave Ste 350, Beaver Dam, WI 53916 | 2015-02-12 |
| 1326471608 | Raquel Rodriguez-guzman | Pharmacist | 205 La Crosse Street, Beaver Dam, WI 53916 | 2013-08-09 |
| 1558608828 | Mary Y Kunz | Licensed Practical Nurse | 6550 N Highway 151 Lot 63, Beaverdam, WI 53916 | 2013-01-07 |
| 1881938454 | Brock Holden Slinger | Physical Therapist | 205 Monroe St. #13, Beaver Dam, WI 53916 | 2012-11-20 |
| Find all providers in zip 53916 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730627894 | Community Memorial Hospital of Menomonee Falls Inc | Pharmacy | N86w12999 Nightingale Way, Menomonee Falls, WI 53051-2102 | 2017-02-08 |
| 1336394717 | Bhs Central Pharmacy | Pharmacy | 208 S West St, Waupun, WI 53963-1629 | 2008-11-26 |
| 1861905846 | Prairie Ridge Health, Inc. | Pharmacy | 1515 Park Ave, Columbus, WI 53925-1618 | 2017-11-13 |
| 1932595972 | County of Milwaukee | Pharmacy | 9455 W Watertown Plank Rd, Milwaukee, WI 53226-3559 | 2015-04-07 |
| 1538317441 | Richland Hospital | Pharmacy | 333 E 2nd St, Richland Center, WI 53581-1914 | 2008-09-04 |
| 1902062540 | The Monroe Clinic, Inc. | Pharmacy | 515 22nd Ave, Monroe, WI 53566-1569 | 2008-08-04 |
| 1265562136 | Aspirus Wausau Hospital, Inc | Pharmacy | 333 Pine Ridge Blvd, Wausau, WI 54401-4120 | 2007-03-07 |
| 1174658926 | Rusk County Memorial Hospital Pharmacy | Pharmacy | 900 College Ave W, Ladysmith, WI 54848-2116 | 2007-02-22 |
| 1790831576 | Beloit Memorial Hospital | Pharmacy | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2007-01-26 |
| 1134286537 | Tri-county Memorial Hospital Inc | Pharmacy | 18601 Lincoln St, Whitehall, WI 54773-8605 | 2007-01-03 |
| Find all providers with the same taxonomy | ||||
| City | BEAVER DAM |
| Zip Code | 53916 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.