BEAVER DAM COMMUNITY HOSPITALS INC (NPI# 1740704089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740704089 |
| Entity Type | Organization |
| Organization Name | BEAVER DAM COMMUNITY HOSPITALS INC |
| Other Organization Name | MARSHFIELD MEDICAL CENTER - BEAVER DAM - PODIATRY CLINIC |
| Practice Address |
705 S University Ave Ste 150 Beaver Dam WI 53916 |
| Mailing Address |
707 S University Ave Beaver Dam WI 53916-3027 |
| Practice Telephone | 9202194009 |
| Mailing Telephone | 9208877181 |
| Mailing Fax Number | 9208877973 |
| Enumeration Date | 2017-07-28 |
| 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 | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Beaver Dam Community Hospitals, Inc - Podiatry Clinic | Doing Business As Name - Organization |
| Marshfield Medical Center - Beaver Dam - Podiatry Clinic | 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 |
| 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 |
705 S UNIVERSITY AVE STE 150 |
| City | BEAVER DAM |
| State | WI |
| Zip Code | 53916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578544029 | Robert C Seipel | Orthopaedic Surgery | 705 S University Ave Ste 150, Beaver Dam, WI 53916-3071 | 2005-11-10 |
| 1689125064 | Gregory Beier | Physical Therapy Assistant | 705 S University Ave Ste 150, Beaver Dam, WI 53916-3071 | 2016-10-20 |
| 1023310034 | Beaver Dam Community Hospitals, Inc | Family Medicine | 705 S University Ave Ste 150, Beaver Dam, WI 53916 | 2010-11-23 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669803268 | Maria Derksen | Specialist | 33 University Ave, Beaver Dam, WI 53916-8847 | 2013-12-06 |
| 1558301499 | Karen Michele Brooks | Specialist | 1217 N Main St, Beaver Dam, KY 42320-8955 | 2006-06-08 |
| 1841476678 | Kimberly J Bivens | Specialist | 1211 N Main St, Beaver Dam, KY 42320-8955 | 2008-01-10 |
| 1992998884 | Tara L. Passow Md Inc | Specialist | 700 Hillcrest Ct, Beaver Dam, WI 53916-2418 | 2007-08-23 |
| 1639294481 | Elite Physical Therapy & Fitness, Psc | Specialist | 1217 N Main St, Beaver Dam, KY 42320-8955 | 2007-03-20 |
| 1124128228 | Lynn R Swiggum | Specialist | 705 S University Ave, Suite 150, Beaver Dam, WI 53916-3053 | 2006-09-25 |
| 1467565978 | Family & Sports Orthopaedic Center, LLC | Specialist | 118 W Maple Ave, Beaver Dam, WI 53916-2104 | 2006-08-17 |
| 1932212461 | Robert A Coe | Specialist | 118 W Maple Ave, Beaver Dam, WI 53916-2104 | 2006-08-17 |
| 1366555815 | David C Barton | Specialist | 118 W Maple Ave, Beaver Dam, WI 53916-2104 | 2006-08-17 |
| 1689607087 | Integrity Urologic, Sc | Specialist | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2006-07-08 |
| Find all providers in BEAVER DAM | ||||
| 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.