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(INACTIVE) MARSHFIELD MEDICAL CENTER - BEAVER DAM WAUPUN CENTER (HOPD
NPI 1629374780
Family Medicine in Waupun, WI

Active since February 07, 2011
180 GATEWAY DR, WAUPUN, WI 53963(920) 345-1306(920) 345-1325 Get Directions Write a Review

NPPES record last updated: March 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 3, 2022, May 13, 2019, Aug 20, 2018 (3 updates tracked since 2018).

About (inactive) Marshfield Medical Center - Beaver Dam Waupun Center (hopd NPPES

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

(INACTIVE) MARSHFIELD MEDICAL CENTER - BEAVER DAM WAUPUN CENTER (HOPD (NPI 1629374780) is a healthcare organization registered as a family medicine in Waupun, Wisconsin and active in the NPI registry since February 2011. The organization lists Gordon T Edwards, Cfo/coo/ao, as its authorized official.

NPPES Registry Identity

NPI1629374780
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBEAVER DAM COMMUNITY HOSPITALS INC
Location Address180 GATEWAY DRWaupun, WI 53963
Mailing Address1000 N Oak Ave, Attn: Provider Enrollment Services/wwpMarshfield, WI 54449-5703 · (715) 389-0660
Phone(920) 345-1306
Fax(920) 345-1325
Organization SubpartYesParent: Marshfield Clinic Health System Inc
Authorized OfficialGordon T EdwardsCfo/coo/ao · (715) 387-5823
Enumeration DateFebruary 7, 2011
Last NPPES UpdateMarch 3, 20223 updates tracked since enumeration
NPPES CertifiedMarch 3, 2022
✔ NPI 1629374780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
180 GATEWAY DR, Waupun, WI 53963
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Other Names 1

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

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

Other Providers at the Same Location NPPES

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

AMY L ZANGL PA
Physician Assistant
180 GATEWAY DR
WAUPUN, WI 53963
Fond Du Lac County (920) 345-1306

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 1629374780. It was assigned to this organization in the NPPES registry on February 7, 2011. The provider is doing business as (inactive) Marshfield Medical Center - Beaver Dam Waupun Center (hopd.

Where is Beaver Dam Community Hospitals Inc located?

Beaver Dam Community Hospitals Inc is located at 180 Gateway Dr, Waupun, WI 53963. The listed phone number is (920) 345-1306.

What is Beaver Dam Community Hospitals Inc's specialty?

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

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 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.