Organization
BEAVER DAM COMMUNITY HOSPITALS, INC
Active
Parent organization
MARSHFIELD CLINIC HEALTH SYSTEM INC
Other names
(Inactive) MMC - Beaver Dam - Movement & Ortho, Rehab, PT/OT/ST
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARSHFIELD CLINIC HEALTH SYSTEM INC
Authorized official
GORDON T EDWARDS (CFO/COO/AO)
(715) 387-5823
Entity
Organization
Contact information
Practice address
705 S UNIVERSITY AVE STE 150, BEAVER DAM, WI 53916
(920) 219-4009
(920) 219-9709
Mailing address
1000 N OAK AVE, ATTN: PROVIDER ENROLLMENT SERVICES/WWP, MARSHFIELD, WI 54449-5703
(715) 389-0660
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
11/23/2010
Last updated
03/02/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up