(INACTIVE) MMC - BEAVER DAM WOMEN'S HEALTH CENTER – NPI #1851607972
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Health Care Provider Taxonomy Code for Clinic/Center

(INACTIVE) MMC - BEAVER DAM WOMEN'S HEALTH CENTER is an AHC clinic located in BEAVER DAM, WI. NPPES has assigned the NPI number 1851607972 to (INACTIVE) MMC - BEAVER DAM WOMEN'S HEALTH CENTER on August 26, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “(INACTIVE) MMC - BEAVER DAM WOMEN'S HEALTH CENTER” is a dba name, the actual legal business name for this organization is BEAVER DAM COMMUNITY HOSPITALS INC. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 4 years ago on Mar 03, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for (INACTIVE) MMC - BEAVER DAM WOMEN'S HEALTH CENTER below.

NPI Profile for
BEAVER DAM COMMUNITY HOSPITALS INC

NPI Number
1851607972
Enumeration Date

(about 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BEAVER DAM COMMUNITY HOSPITALS INC
Doing Business As (dba): (INACTIVE) MMC - BEAVER DAM WOMEN'S HEALTH CENTER
Primary location
705 S UNIVERSITY AVE
BEAVER DAM, WI 53916-3053
Phone: (920) 885-6090 Fax: (920) 887-7973
Mailing address
1000 N OAK AVE
ATTN: PROVIDER ENROLLMENT SERVICES/WWP
MARSHFIELD, WI 54449-5703
Phone: (715) 389-0660 Fax:
Organization Subpart
Yes - (INACTIVE) MMC - BEAVER DAM WOMEN'S HEALTH CENTER is subpart of another organization.
Authorized Official
GORDON EDWARDS
CFO/COO
Phone: (715) 387-5823
Updated
Certification Date
Mar 03, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.