Organization
BEAVER DAM COMMUNITY HOSPITALS INC
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
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
705 S UNIVERSITY AVE, STE 180, BEAVER DAM, WI 53916-3001
(920) 356-0040
Mailing address
1000 N OAK AVE, PROVIDER ENROLLMENT SERVICES - SHP FL 2, MARSHFIELD, WI 54449-5703
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
9335-42
WI
Other
Enumeration date
09/17/2015
Last updated
04/15/2026
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