(Inactive) Marshfield Medical Center - Beaver Dam Specialty Clinic

LBN: Beaver Dam Community Hospitals Inc
(Inactive) Marshfield Medical Center - Beaver Dam Specialty Clinic is an health care organization with primary practice located at 705 S University Ave Ste 360 , Beaver Dam WI 53916-3080. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Beaver Dam Community Hospitals Inc can be contacted via phone (920) 356-6588, or through Edwards, Gordon T via phone (715) 387-5823.

Contact Information

Primary practice address
705 S University Ave Ste 360 Beaver Dam WI 53916-3080
Phone: (920) 356-6588
Fax: (920) 356-6567
Website:
Map and Directions
Authorized official contact:
Name: Edwards, Gordon T
Phone: (715) 387-5823

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1508184896
LBN Legal business name Beaver Dam Community Hospitals Inc
DBA Doing business as (Inactive) Marshfield Medical Center - Beaver Dam Specialty Clinic
Authorized official Edwards, Gordon T
Entity Organization
Organization subpart 1 Yes
Enumeration date May 11th, 2010
Last updated Mar 3rd, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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