(INACTIVE) MARSHFIELD MEDICAL CENTER - BEAVER DAM CHIROPRACTIC
NPI 1306389408
Chiropractor in Beaver Dam, WI

Active since November 22, 2016
211 CORPORATE DR, SUITE H, BEAVER DAM, WI 53916(920) 821-0071(920) 821-0072 Get Directions Write a Review

NPPES record last updated: March 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 2, 2022, Jan 9, 2020, May 13, 2019 and 2 more (5 updates tracked since 2016).

About (inactive) Marshfield Medical Center - Beaver Dam Chiropractic NPPES

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

(INACTIVE) MARSHFIELD MEDICAL CENTER - BEAVER DAM CHIROPRACTIC (NPI 1306389408) is a healthcare organization registered as a chiropractor in Beaver Dam, Wisconsin and active in the NPI registry since November 2016. The organization lists Gordon T Edwards, Cfo/coo/ao, as its authorized official.

NPPES Registry Identity

NPI1306389408
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBEAVER DAM COMMUNITY HOSPITALS INC
Location Address211 CORPORATE DR, SUITE HBeaver Dam, WI 53916
Mailing Address1000 N Oak Ave, Attn: Provider Enrollment Services/wwpMarshfield, WI 54449-5703 · (715) 389-0660
Fax(920) 821-0072
Organization SubpartYesParent: Marshfield Clinic Health System Inc
Authorized OfficialGordon T EdwardsCfo/coo/ao · (715) 387-5823
Enumeration DateNovember 22, 2016
Last NPPES UpdateMarch 2, 20225 updates tracked since enumeration
NPPES CertifiedMarch 2, 2022
NPI 1306389408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
211 CORPORATE DR, Beaver Dam, WI 53916

Other Names 1

Doing Business As(inactive) Marshfield Medical Center - Beaver Dam Chiropractic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Chiropractor
211 CORPORATE DR, SUITE H
BEAVER DAM, WI 53916
Chiropractor
211 CORPORATE DR, SUITE H
BEAVER DAM, WI 53916

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 Beaver Dam Community Hospitals Inc's NPI number?

The NPI number for Beaver Dam Community Hospitals Inc is 1306389408. It was assigned to this organization in the NPPES registry on November 22, 2016. The provider is doing business as (inactive) Marshfield Medical Center - Beaver Dam Chiropractic.

Where is Beaver Dam Community Hospitals Inc located?

Beaver Dam Community Hospitals Inc is located at 211 Corporate Dr Suite H, Beaver Dam, WI 53916. The listed phone number is (920) 821-0071.

What is Beaver Dam Community Hospitals Inc's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

What insurance does Beaver Dam Community Hospitals Inc accept?

Health plans from Security Health Plan list Beaver Dam Community Hospitals Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Beaver Dam Community Hospitals Inc was last updated on March 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.