Organization
BEAVER DAM COMMUNITY HOSPITALS INC
Active
Parent organization
MARSHFIELD CLINIC HEALTH SYSTEM INC
Other names
Hillside Unit Pharmacy (DME)
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
707 S UNIVERSITY AVE, BEAVER DAM, WI 53916-3089
(920) 887-4053
Mailing address
1000 N OAK AVE, ATTN: PROVIDER ENROLLMENT SERVICES SHP FL2, MARSHFIELD, WI 54449-5703
(715) 389-0660
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336I0012X
Institutional Pharmacy
5344-42
WI
3336L0003X
Long Term Care Pharmacy
5344-42
WI
Other
Enumeration date
06/21/2006
Last updated
07/18/2025
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