UW HEALTH BEAVER DAM
NPI 1073575064
Durable Medical Equipment & Medical Supplies in Beaver Dam, WI
NPI Status: Active since April 05, 2006
Contact Information
705 S UNIVERSITY AVE
SUITE 200
BEAVER DAM, WI
ZIP 53916
Phone: (920) 887-9272
Fax: (920) 887-9272
- Organization
- Durable Medical Equipment & Medical Supp...
- CLIA Number: 52D0888438
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-18-2026
About UW HEALTH BEAVER DAM
This page provides the complete NPI Profile along with additional information for Uw Health Beaver Dam, a provider established in Beaver Dam, Wisconsin operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1073575064 assigned on April 2006. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's other name is Uw Health Beaver Dam. The authorized official of this NPI record is Robert Flannery Md (Cao & Cfo)
- NPI
- 1073575064
- Provider Legal Name
- UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC
- Other Organization Name
- UW HEALTH BEAVER DAM
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 705 S UNIVERSITY AVE SUITE 200 BEAVER DAM, WI 53916
- Location Phone
- (920) 887-9272
- Location Fax
- (920) 887-9272
- Mailing Address
- 7974 UW HEALTH COURT MIDDLETON, WI 53562
- Mailing Phone
- (608) 829-5270
- Mailing Fax
- (920) 887-9272
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-05-2006
- Last Update Date
- 07-07-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- Taxonomy Description
- A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1111570034 | MEDICARE NSC (07) | WI | |
| 41736200 | MEDICAID (05) | WI |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D0888438
- Facility Type
- Physician Office
- Certificate Effective Date
- September 19, 2024
- Certificate Expiration Date
- September 18, 2026
- Laboratory Director
- MS. SAMANTHA BECHMANN
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Uw Health Beaver Dam after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1073575064, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 46 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BEAVER DAM, WI 53916
BEAVER DAM, WI 53916
BEAVER DAM, WI 53916
BEAVER DAM, WI 53916
BEAVER DAM, WI 53916
BEAVER DAM, WI 53916
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073575064, enumerated as an "organization" on April 05, 2006.
The provider is located at 705 S UNIVERSITY AVE SUITE 200 BEAVER DAM, WI 53916 and the phone number is (920) 887-9272.
Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
