(Inactive) Hillside Unit Pharmacy
LBN: Beaver Dam Community Hospitals Inc
(Inactive) Hillside Unit Pharmacy is an health care organization with primary practice located at 707 S University Ave , Beaver Dam WI 53916-3027. The organization recently has 2 registered licenses in different health care specialties including Hospitals / General Acute Care Hospital, Suppliers / Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Beaver Dam Community Hospitals Inc can be contacted via phone (920) 887-4146, or through Edwards, Gordon T via phone (715) 387-5823.
Contact Information
Primary practice address
707 S University Ave
Beaver Dam WI 53916-3027
Phone: (920) 887-4146
Fax: (920) 887-6613
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Hospitals / General Acute Care Hospital | 282N00000X | 5344-042 | West Virginia |
| Suppliers / Pharmacy | 333600000X |
Profile Details
| NPI number | 1720202864 |
|---|---|
| LBN Legal business name | Beaver Dam Community Hospitals Inc |
| DBA Doing business as | (Inactive) Hillside Unit Pharmacy |
| Authorized official | Edwards, Gordon T |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Mar 7th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720202864 | NPPES |
| Wisconsin | Other | 5344-042 | STATE LICENSE # |
| Wisconsin | Other | 5111923 | STATE LICENSE # |
| Wisconsin | Other | 5111923 | STATE LICENSE # |
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