(Inactive) Marshfield Medical Center - Beaver Dam Podiatry Clinic

LBN: Beaver Dam Community Hospitals Inc
(Inactive) Marshfield Medical Center - Beaver Dam Podiatry Clinic is an health care organization with primary practice located at 705 S University Ave Ste 150 , Beaver Dam WI 53916. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Beaver Dam Community Hospitals Inc can be contacted via phone (920) 219-4009, or through Edwards, Gordon T via phone (715) 387-5823.

Contact Information

Primary practice address
705 S University Ave Ste 150 Beaver Dam WI 53916
Phone: (920) 219-4009
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Edwards, Gordon T
Phone: (715) 387-5823

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1740704089
LBN Legal business name Beaver Dam Community Hospitals Inc
DBA Doing business as (Inactive) Marshfield Medical Center - Beaver Dam Podiatry Clinic
Authorized official Edwards, Gordon T
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 28th, 2017
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.

Request for update

Popular Providers