OrganizationActive
Beaver Dam Community Hospitals Inc
NPI 1538491998 · Family Medicine Physician · Beaver Dam, WI
Provider details
- NPI number
- 1538491998
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Marshfield Clinic Health System Inc
- Organization subpart
- Yes
- Authorized official
- Gordon Edwards, Cfo/Coo/Ao(715) 387-5823
- License
- 851-800 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
130 Warren St Ste 132
Beaver Dam, WI 53916
Phone: (920) 887-7181
Fax: (920) 887-6833
Approximate (ZIP-level) locationGet directions
Mailing address
1000 N Oak Ave
Marshfield, WI 54449-5703
Other names (DBA / former)
- Doing business as
- (inactive) Marshfield Medical Center - Beaver Dam Family Practice
Registry dates
- Enumerated
- 2010-02-09
- Last updated
- 2022-03-03
- Certified
- 2022-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.