BEAVER DAM COMMUNITY HOSPITALS INC (NPI# 1306389408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306389408 |
| Entity Type | Organization |
| Organization Name | BEAVER DAM COMMUNITY HOSPITALS INC |
| Other Organization Name | MARSHFIELD MEDICAL CENTER - BEAVER DAM CHIROPRACTIC |
| Practice Address |
211 Corporate Dr Suite H Beaver Dam WI 53916 |
| Mailing Address |
707 S University Ave Beaver Dam WI 53916-3027 |
| Practice Telephone | 9208210071 |
| Practice Fax Number | 9208210072 |
| Mailing Telephone | 9208877181 |
| Mailing Fax Number | 9208873422 |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2020-01-09 |
| Authorized Official Name | JOSEPH GILENE (INTERIM CAO) |
| Authorized Official Telephone | 9208877781 |
| Authorized Official Credential | FACHE |
| Is Organization Subpart | Y |
| Parent Organization Name | MCHS HOSPITALS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| BDCH Chiropractic | Doing Business As Name - Organization |
| Marshfield Medical Center - Beaver Dam Chiropractic | 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 |
| 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 |
| 1295771780 | Beaver Dam Community Hospitals Inc | Pharmacy | 707 S University Ave, Beaver Dam, WI 53916 | 2006-06-21 |
| Street Address |
211 CORPORATE DR SUITE H |
| City | BEAVER DAM |
| State | WI |
| Zip Code | 53916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518989631 | Benjamin David Shier | Chiropractor | 211 Corporate Dr, Suite H, Beaver Dam, WI 53916-3119 | 2006-07-25 |
| 1831387455 | Shier Family Chiropractic LLC | Chiropractor | 211 Corporate Dr, Suite H, Beaver Dam, WI 53916-3119 | 2007-10-09 |
| 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 | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467832899 | Kluewer Chiropractic, Inc | Chiropractor | 1229 N Center St, Beaver Dam, WI 53916-1147 | 2015-06-01 |
| 1881809242 | Larry E J Russell | Chiropractor | 604 Scott St, Beaver Dam, WI 53916-1024 | 2007-05-11 |
| 1104993658 | Jerome E Tyjeski | Chiropractor | 119 E Mackie St, Beaver Dam, WI 53916-2031 | 2006-11-29 |
| 1083796643 | Roger Clarence Hasbrouck | Chiropractor | 915 Madison St, Beaver Dam, WI 53916-2623 | 2006-10-20 |
| 1518989631 | Benjamin David Shier | Chiropractor | 211 Corporate Dr, Suite H, Beaver Dam, WI 53916-3119 | 2006-07-25 |
| 1003845587 | Dale R Alt | Chiropractor | 127 Park Ave, Beaver Dam, WI 53916-2107 | 2006-06-30 |
| 1962454249 | Jenifer E Espenscheid | Chiropractor | 105 Warren St, Suite #1, Beaver Dam, WI 53916-3012 | 2006-05-16 |
| 1932190311 | Lentscher Brothers LLC | Chiropractor | 250 Corporate Dr., Beaver Dam, WI 53916 | 2005-11-03 |
| 1033100193 | William Patrick Lentscher | Chiropractor | 250 Corporate Dr, Beaver Dam, WI 53916 | 2005-10-28 |
| 1639647605 | Lentscher Brothers LLC | Chiropractor | 250 Corporate Dr., Beaver Dam, WI 53916 | 2018-11-08 |
| Find all providers in BEAVER DAM | ||||
| City | BEAVER DAM |
| Zip Code | 53916 |
Please comment or provide details below to improve the information on BEAVER DAM COMMUNITY HOSPITALS INC.
| 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.