(INACTIVE) MARSHFIELD MEDICAL CENTER - BEAVER DAM FAMILY PRACTICE – NPI #1538491998
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

(INACTIVE) MARSHFIELD MEDICAL CENTER - BEAVER DAM FAMILY PRACTICE is a provider located in BEAVER DAM, WI. NPPES has assigned the NPI number 1538491998 to (INACTIVE) MARSHFIELD MEDICAL CENTER - BEAVER DAM FAMILY PRACTICE on February 09, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “(INACTIVE) MARSHFIELD MEDICAL CENTER - BEAVER DAM FAMILY PRACTICE” 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 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

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) MARSHFIELD MEDICAL CENTER - BEAVER DAM FAMILY PRACTICE below.

NPI Profile for
BEAVER DAM COMMUNITY HOSPITALS INC

NPI Number
1538491998
Enumeration Date

(more than 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) MARSHFIELD MEDICAL CENTER - BEAVER DAM FAMILY PRACTICE
Primary location
130 WARREN ST STE 132
BEAVER DAM, WI 53916
Phone: (920) 887-7181 Fax: (920) 887-6833
Mailing address
1000 N OAK AVE
ATTN: PROVIDER ENROLLMENT SERVICES/WWP
MARSHFIELD, WI 54449-5703
Phone: (715) 389-0660 Fax:
Organization Subpart
Yes - (INACTIVE) MARSHFIELD MEDICAL CENTER - BEAVER DAM FAMILY PRACTICE is subpart of another organization.
Authorized Official
GORDON EDWARDS
CFO/COO/AO
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
207Q00000X
- Family Medicine (Primary)
WI 851-800

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.