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
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