OrganizationActive
Beacon Nursing
NPI 1740026608 · Health Service Clinic/Center · Elkhorn, WI
Provider details
- NPI number
- 1740026608
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Laura Tidwell, Chief Nursing Officer(262) 723-1758
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
W5440 Elkhorn Dr
Elkhorn, WI 53121-3038
Phone: (262) 215-1612
Approximate (ZIP-level) locationGet directions
Mailing address
W5440 Elkhorn Dr
Elkhorn, WI 53121-3038
Registry dates
- Enumerated
- 2024-07-01
- Last updated
- 2024-07-01
- Certified
- 2024-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.