# BEAVER DAM COMMUNITY HOSPITALS INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MARSHFIELD CLINIC HEALTH SYSTEM INC
- **Other names:** Marshfield Medical Center - Beaver Dam Professional Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1972188555
- **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:** 707 S UNIVERSITY AVE, BEAVER DAM, WI 53916-3027
- **Practice address phone:** (920) 887-7181
- **Mailing address:** 1000 N OAK AVE, PROVIDER ENROLLMENT SERVICES - SHP FL 2, MARSHFIELD, WI 54449-5703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 156FX1800X | Optician | — | NULL | — |
| 156FX1800X | Optician | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/15/2021
- **Last updated:** 04/14/2026