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UW HEALTH BEAVER DAM
NPI 1073575064
Durable Medical Equipment & Medical Supplies in Beaver Dam, WI

Active since April 05, 2006CLIA Certified · 2 labs
705 S UNIVERSITY AVE, SUITE 200, BEAVER DAM, WI 53916(920) 887-9272(920) 887-9272 Get Directions Write a Review

NPPES record last updated: July 7, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Uw Health Beaver Dam NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UW HEALTH BEAVER DAM (NPI 1073575064) is a healthcare organization registered as a durable medical equipment & medical supplies in Beaver Dam, Wisconsin and active in the NPI registry since April 2006. The organization holds 2 active CLIA laboratory certificates and lists Robert Flannery, Cao & Cfo, as its authorized official.

NPPES Registry Identity

NPI1073575064
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameUNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC
Location Address705 S UNIVERSITY AVE, SUITE 200Beaver Dam, WI 53916
Mailing Address7974 Uw Health CourtMiddleton, WI 53562-5531 · (608) 829-5270 · Fax (608) 833-5039
Phone(920) 887-9272
Fax(920) 887-9272
Organization SubpartNo
Authorized OfficialRobert FlanneryCao & Cfo · (608) 821-4223
Enumeration DateApril 5, 2006
Last NPPES UpdateJuly 7, 2016
✔ NPI 1073575064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition

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.

705 S UNIVERSITY AVE, Beaver Dam, WI 53916
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Other Names 1

Other NameUw Health Beaver Dam

Other Identifiers 2

Medicare NSC1111570034WI
Medicaid41736200WI

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 52D0888438

Uw Health - Beaver Dam · Beaver Dam, WI
Active · expires Sep 18, 2026
CLIA Number52D0888438
Laboratory TypePhysician Office
Certificate Effective DateSeptember 19, 2024
Certificate Expiration DateSeptember 18, 2026
Laboratory DirectorMs. Samantha Bechmann
Laboratory Phone(920) 887-9272
Laboratory LocationUw Health - Beaver Dam705 S University Ave Ste 200-Lab, Beaver Dam, WI 53916
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 52D2312191

Uw Health Beaver Dam Pediatric Clinic · Beaver Dam, WI
Active · expires Oct 6, 2026
CLIA Number52D2312191
Laboratory TypePhysician Office
Certificate Effective DateOctober 7, 2024
Certificate Expiration DateOctober 6, 2026
Laboratory DirectorDr. David T. Yang
Laboratory Phone(608) 263-7506
Laboratory LocationUw Health Beaver Dam Pediatric Clinic109 Warren Street, Suite 4, Beaver Dam, WI 53916
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEORGE E DAVIS MD
Ophthalmology
705 S UNIVERSITY AVE, SUITE 100
BEAVER DAM, WI 53916
Dodge County (920) 887-1151
DEAN HEALTH SYSTEMS, INC.
Durable Medical Equipment & Medical Supplies
705 S UNIVERSITY AVE, STE 500
BEAVER DAM, WI 53916
Dodge County (920) 887-3102
DR. WILLIAM HENRY BULL V MD
Internal Medicine
705 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Dodge County (920) 887-9272
MARSHLAND PHARMACIES INC
Pharmacy (Community/Retail Pharmacy)
705 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Dodge County (920) 356-0040
LYNN R SWIGGUM A.T.C., L.A.T.
Specialist
705 S UNIVERSITY AVE, SUITE 150
BEAVER DAM, WI 53916
Dodge County (920) 885-2663
SUSAN LORRAINE SUTTER R.PH.
Pharmacist
705 S UNIVERSITY AVE, SUITE 180
BEAVER DAM, WI 53916
Dodge County (920) 356-0040
WILSON H LUY TAN, MD LTD
Psychiatry & Neurology (Neurology)
705 S UNIVERSITY AVE, SUITE 380
BEAVER DAM, WI 53916
Dodge County (920) 887-3460
EDWARD F CODY MD
Family Medicine
705 S UNIVERSITY AVE, STE 510
BEAVER DAM, WI 53916
Dodge County (920) 887-3102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is University Of Wisconsin Medical Foundation Inc's NPI number?

The NPI number for University Of Wisconsin Medical Foundation Inc is 1073575064. It was assigned to this organization in the NPPES registry on April 5, 2006. The provider is also known as Uw Health Beaver Dam.

Where is University Of Wisconsin Medical Foundation Inc located?

University Of Wisconsin Medical Foundation Inc is located at 705 S University Ave Suite 200, Beaver Dam, WI 53916. The listed phone number is (920) 887-9272.

What is University Of Wisconsin Medical Foundation Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does University Of Wisconsin Medical Foundation Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for University Of Wisconsin Medical Foundation Inc was last updated on July 7, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.