# BEAVER DAM COMMUNITY HOSPITALS INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MARSHFIELD CLINIC HEALTH SYSTEM INC
- **Other names:** Marshfield Medical Center - Beaver Dam Pharmacy (Part B Immunization)
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1275902546
- **Legal business name:** MARSHFIELD CLINIC HEALTH SYSTEM INC
- **Authorized official:** JOLYN MUNSON (VP REVENUE CYCLE OPERATIONS)
- **Authorized official phone:** (605) 328-6585

## Contact information

- **Practice address:** 705 S UNIVERSITY AVE, STE 180, BEAVER DAM, WI 53916-3001
- **Practice address phone:** (920) 356-0040
- **Mailing address:** 1000 N OAK AVE, PROVIDER ENROLLMENT SERVICES - SHP FL 2, MARSHFIELD, WI 54449-5703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 9335-42 | WI | Yes |

## Other

- **Enumeration date:** 09/17/2015
- **Last updated:** 04/15/2026