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Organization
BEAVER DAM COMMUNITY HOSPITALS INC
Active
Organization
BEAVER DAM COMMUNITY HOSPITALS INC
Active
Parent organization
MARSHFIELD CLINIC HEALTH SYSTEM INC
Other names
Marshfield Medical Center - Beaver Dam Professional Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARSHFIELD CLINIC HEALTH SYSTEM INC
Authorized official
JOLYN MUNSON (VP REVENUE CYCLE OPERATIONS)
(605) 328-6585
Entity
Organization
Contact information
Practice address
707 S UNIVERSITY AVE, BEAVER DAM, WI 53916-3027
(920) 887-7181
Mailing address
1000 N OAK AVE, PROVIDER ENROLLMENT SERVICES - SHP FL 2, MARSHFIELD, WI 54449-5703
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
NULL
156FX1800X
Optician
—
—
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/15/2021
Last updated
04/14/2026
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