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(INACTIVE) MARSHFIELD MEDICAL CENTER - BEAVER DAM FAMILY PRACTICE
NPI 1538491998
Family Medicine in Beaver Dam, WI

Active since February 09, 2010
130 WARREN ST STE 132, BEAVER DAM, WI 53916(920) 887-7181(920) 887-6833 Get Directions Write a Review

NPPES record last updated: March 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 3, 2022, Jan 9, 2020, May 13, 2019 and 1 more (4 updates tracked since 2018).

About (inactive) Marshfield Medical Center - Beaver Dam Family Practice NPPES

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

(INACTIVE) MARSHFIELD MEDICAL CENTER - BEAVER DAM FAMILY PRACTICE (NPI 1538491998) is a healthcare organization registered as a family medicine in Beaver Dam, Wisconsin and active in the NPI registry since February 2010. The organization lists Gordon T Edwards, Cfo/coo/ao, as its authorized official.

NPPES Registry Identity

NPI1538491998
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBEAVER DAM COMMUNITY HOSPITALS INC
Location Address130 WARREN ST STE 132Beaver Dam, WI 53916
Mailing Address1000 N Oak Ave, Attn: Provider Enrollment Services/wwpMarshfield, WI 54449-5703 · (715) 389-0660
Phone(920) 887-7181
Fax(920) 887-6833
Organization SubpartYesParent: Marshfield Clinic Health System Inc
Authorized OfficialGordon T EdwardsCfo/coo/ao · (715) 387-5823
Enumeration DateFebruary 9, 2010
Last NPPES UpdateMarch 3, 20224 updates tracked since enumeration
NPPES CertifiedMarch 3, 2022
✔ NPI 1538491998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 851-800
Definition

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.

130 WARREN ST STE 132, Beaver Dam, WI 53916
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Other Names 1

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

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

The full list of accepted plans is on the Insurance tab. Issuers include Security Health Plan.Insurance ›

Other Providers at the Same Location NPPES

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

KAITLYN ROSE RYCHLOWSKI APNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
130 WARREN ST STE 132
BEAVER DAM, WI 53916
Dodge County (920) 356-6558

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 1538491998. It was assigned to this organization in the NPPES registry on February 9, 2010. The provider is doing business as (inactive) Marshfield Medical Center - Beaver Dam Family Practice.

Where is Beaver Dam Community Hospitals Inc located?

Beaver Dam Community Hospitals Inc is located at 130 Warren St Ste 132, Beaver Dam, WI 53916. The listed phone number is (920) 887-7181.

What is Beaver Dam Community Hospitals Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.