(INACTIVE) HILLSIDE UNIT PHARMACY
NPI 1720202864
Pharmacy in Beaver Dam, WI

Q: What is Beaver Dam Community Hospitals Inc's NPI number?

The NPI number for Beaver Dam Community Hospitals Inc is 1720202864. It was assigned to this organization in the NPPES registry on April 12, 2007. The provider is doing business as (inactive) Hillside Unit Pharmacy.

Q: What is Beaver Dam Community Hospitals Inc's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Active since April 12, 2007

707 S UNIVERSITY AVE, BEAVER DAM, WI 53916(920) 887-4146(920) 887-6613 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, Mar 7, 2022, Feb 18, 2019 and 1 more (4 updates tracked since 2018).

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About (inactive) Hillside Unit Pharmacy NPPES

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

(INACTIVE) HILLSIDE UNIT PHARMACY (NPI 1720202864) is a healthcare organization registered as a pharmacy in Beaver Dam, Wisconsin and active in the NPI registry since April 2007. The organization lists Gordon T Edwards, Cfo/coo/ao, as its authorized official.

NPPES Registry Identity

NPI1720202864

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameBEAVER DAM COMMUNITY HOSPITALS INC

Location Address707 S UNIVERSITY AVEBeaver Dam, WI 53916-3027

Mailing Address1000 N Oak Ave, Attn: Provider Enrollment Services/wwpMarshfield, WI 54449-5703 · (715) 389-0660

Phone(920) 887-4146

Fax(920) 887-6613

Organization SubpartYesParent: Marshfield Clinic Health System Inc

Authorized OfficialGordon T EdwardsCfo/coo/ao · (715) 387-5823

Enumeration DateApril 12, 2007

Last NPPES UpdateMarch 7, 20234 updates tracked since enumeration

NPPES CertifiedMarch 3, 2022

✔ NPI 1720202864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License 5344-042 (WV)

707 S UNIVERSITY AVE, Beaver Dam, WI 53916

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Other Names 1

Doing Business As(inactive) Hillside Unit Pharmacy

Other Identifiers 3

Other5344-042WI · State License #

Other5111923WI · Nabp Number

Other5111923WI · Wi Medicaid Number

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.

BEAVER DAM COMMUNITY HOSPITALS INC

General Acute Care Hospital