BEAVER DAM COMMUNITY HOSPITALS, INC. (NPI# 1689915209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689915209 |
| Entity Type | Organization |
| Organization Name | BEAVER DAM COMMUNITY HOSPITALS, INC. |
| Other Organization Name | MARSHFIELD MEDICAL CENTER - BEAVER DAM - HORICON |
| Practice Address |
610 Washington St Horicon WI 53032 |
| Mailing Address |
707 S University Ave Beaver Dam WI 53916-3027 |
| Practice Telephone | 9206437170 |
| Practice Fax Number | 9206437165 |
| Mailing Telephone | 9208877181 |
| Mailing Fax Number | 9208877973 |
| Enumeration Date | 2013-03-06 |
| 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. Medical Clinics - Horicon | Doing Business As Name - Organization |
| Marshfield Medical Center - Beaver Dam - Horicon | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831410521 | Beaver Dam Community Hospitals, Inc. | Family Medicine | 420 W North St, Juneau, WI 53039 | 2010-06-16 |
| Street Address |
610 WASHINGTON ST |
| City | HORICON |
| State | WI |
| Zip Code | 53032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710946728 | Joann K Lee | Family Medicine | 610 Washington St, Horicon, WI 53032 | 2006-03-20 |
| 1073010229 | Cheryl Lea Butler | Nurse Practitioner | 610 Washington St, Horicon, WI 53032-1552 | 2018-04-12 |
| 1609985548 | Ramon Pajarillo | Family Medicine | 610 Washington St, Horicon, WI 53032-1552 | 2006-08-30 |
| 1114988375 | University of Wisconsin Medical Foundation | Durable Medical Equipment & Medical Supplies | 610 Washington St, Horicon, WI 53032-1552 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871986141 | Lindsey Thompson | Registered Nurse | 325 E Lake St, Horicon, WI 53032 | 2015-03-11 |
| 1942487285 | Beverly Jean Rand | Registered Nurse | 2000 National Blvd, Zablocki Vamc, Milwaukee, WI 53032 | 2008-01-29 |
| 1679884498 | Anna Laura Minnema | Dentist | 501 E Lake St, Horicon, WI 53032 | 2010-06-25 |
| 1104830496 | City of Horicon | Ambulance | 404 E Lake St, Horicon, WI 53032-1245 | 2006-07-29 |
| 1336258557 | Esser, Krueger & Borja Dds Sc | Dentist | 501 E Lake St, Horicon, WI 53032-1246 | 2006-08-30 |
| 1285754820 | John Borja | Dentist | 501 E Lake St, Horicon, WI 53032-1246 | 2007-03-29 |
| 1386768711 | Jean Esser | Dentist | 501 E Lake St, Horicon, WI 53032-1246 | 2007-03-19 |
| 1689798027 | Thoedoer Krueger | Dentist | 501 E Lake St, Horicon, WI 53032-1246 | 2007-03-19 |
| 1013992627 | John Henry Eidem | Chiropractor | 514 E Lake St, Horicon, WI 53032-1247 | 2005-12-07 |
| 1215351267 | Steven Eidem | Chiropractor | 514 E Lake St, Horicon, WI 53032-1265 | 2014-02-11 |
| Find all providers in zip 53032 | ||||
| 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 |
|---|---|---|---|---|
| 1710946728 | Joann K Lee | Family Medicine | 610 Washington St, Horicon, WI 53032 | 2006-03-20 |
| 1609985548 | Ramon Pajarillo | Family Medicine | 610 Washington St, Horicon, WI 53032-1552 | 2006-08-30 |
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| 1962015552 | Callie Lund | Family Medicine | 418 Lotus St, Mosinee, WI 54455-1728 | 2020-08-25 |
| 1275159998 | Beam Healthcare, Sc | Family Medicine | 25 W Main St Fl 5, Madison, WI 53703-3399 | 2020-06-18 |
| 1487283503 | Enitza Damaris George | Family Medicine | 1906 Brackett Ave, Eau Claire, WI 54701-5042 | 2020-04-02 |
| 1093341380 | Tia Marie Vaccaro | Family Medicine | 1275 Judd Rd, Oregon, WI 53575-2573 | 2020-03-18 |
| 1134753411 | Proactive Md Sc,p.a. | Family Medicine | Brakebush Health Center, N4993 6th Dr., Westfield, WI 53964 | 2020-02-26 |
| 1790323608 | Solidaritus Health Wisconsin Sc | Family Medicine | 1476 Blazing Star Blvd Ste 4, Altoona, WI 54720-4002 | 2019-12-11 |
| 1255974952 | Integrative Health Center of Central Wisconsin LLC | Family Medicine | 3205 E Washington Ave Ste A, Madison, WI 53704-4332 | 2019-10-25 |
| 1962969220 | Paladina Health, LLC | Family Medicine | Paladina Health Menomonee Falls, N84 W15787 Menomonee Avenue Suite 6, Menomonee Falls, WI 53051 | 2019-02-22 |
| 1942767298 | Paladina Health, LLC | Family Medicine | Paladina Health Sussex Beer Capitol Clinic, W222 N5700 Miller Way, Sussex, WI 53069 | 2019-02-22 |
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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.