Organization
BEAVER DAM COMMUNITY HOSPITALS INC
Active
Parent organization
MARSHFIELD CLINIC HEALTH SYSTEM INC
Other names
Marshfield Medical Center - Beaver Dam Waupun Eye Clinic
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
140 GATEWAY DR, WAUPUN, WI 53963-2276
(715) 324-3191
Mailing address
1000 N OAK AVE, PROVIDER ENROLLMENT SERVICES - SHP FL 2, MARSHFIELD, WI 54449-5703
(715) 389-0660
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/10/2022
Last updated
04/15/2026
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