BEAVER DAM COMMUNITY HOSPITALS INC (NPI# 1538491998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538491998 |
| Entity Type | Organization |
| Organization Name | BEAVER DAM COMMUNITY HOSPITALS INC |
| Other Organization Name | MARSHFIELD MEDICAL CENTER - BEAVER DAM - FAMILY PRACTICE |
| Practice Address |
130 Warren St Ste 132 Beaver Dam WI 53916 |
| Mailing Address |
707 S University Ave Beaver Dam WI 53916-3027 |
| Practice Telephone | 9208877181 |
| Practice Fax Number | 9208876833 |
| Mailing Telephone | 9208877181 |
| Mailing Fax Number | 9208873422 |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2020-01-09 |
| Authorized Official Name | JOSEPH GILENE (INTERIM CAO) |
| Authorized Official Telephone | 9208877181 |
| 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 | 207Q00000X | Family Medicine | 851-800 | WI | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| BDCH, Inc. Clinics: Family Practice (130 Warren St.) | Doing Business As Name - Organization |
| Marshfield Medical Center - Beaver Dam - Family Practice | 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 |
| 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 |
| 1295771780 | Beaver Dam Community Hospitals Inc | Pharmacy | 707 S University Ave, Beaver Dam, WI 53916 | 2006-06-21 |
| Street Address |
130 WARREN ST STE 132 |
| City | BEAVER DAM |
| State | WI |
| Zip Code | 53916 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811503410 | Angela Coffman | Family Medicine | 1000 Thompson Dr, Beaver Dam, KY 42320-9152 | 2020-09-18 |
| 1891894523 | Billy R Allen | Family Medicine | 1520 N Main Street, Beaver Dam, KY 42320-0086 | 2006-09-21 |
| 1841243433 | Victor W. Caceres | Family Medicine | 919 S University Ave, Beaver Dam, WI 53916-3001 | 2006-05-18 |
| 1164473617 | Jamie S Deering | Family Medicine | 705 S University Ave Ste 500, Beaver Dam, WI 53916-3053 | 2006-05-12 |
| 1720047863 | Eric D Miller | Family Medicine | 215 Corporate Dr. Suite A, Paladina Health, Beaver Dam, WI 53916 | 2006-03-18 |
| 1558354068 | Paul R Mcmillan | Family Medicine | 705 S University Ave, Suite 200, Beaver Dam, WI 53916-3053 | 2005-08-30 |
| 1154877504 | Paladina Health, LLC | Family Medicine | 215 Corporate Dr, Suite A, Beaver Dam, WI 53916-3123 | 2016-08-26 |
| 1922468891 | Church Health Services, Inc. | Family Medicine | 115 N Center St, Beaver Dam, WI 53916-2119 | 2016-03-04 |
| 1205248804 | Ayaz Samandani Md Sc | Family Medicine | 215 Corporate Dr, Suite H, Beaver Dam, WI 53916-3123 | 2014-05-30 |
| 1265842306 | Emily Peterson | Family Medicine | 705 S University Ave Ste 200, Beaver Dam, WI 53916-3079 | 2014-04-29 |
| 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.