(INACTIVE) MMC - BEAVER DAM WOMEN'S HEALTH CENTER
NPI 1851607972
Clinic/Center in Beaver Dam, WI

Active since August 26, 2010
705 S UNIVERSITY AVE, BEAVER DAM, WI 53916(920) 885-6090(920) 887-7973 Get Directions Write a Review

NPPES record last updated: March 3, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 3, 2022, Feb 24, 2021, May 13, 2019 and 1 more (4 updates tracked since 2018).

About (inactive) Mmc - Beaver Dam Women's Health Center NPPES

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

(INACTIVE) MMC - BEAVER DAM WOMEN'S HEALTH CENTER (NPI 1851607972) is a healthcare organization registered as a clinic/center in Beaver Dam, Wisconsin and active in the NPI registry since August 2010. The organization lists Gordon T Edwards, Cfo/coo, as its authorized official.

NPPES Registry Identity

NPI1851607972
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBEAVER DAM COMMUNITY HOSPITALS INC
Location Address705 S UNIVERSITY AVEBeaver Dam, WI 53916-3053
Mailing Address1000 N Oak Ave, Attn: Provider Enrollment Services/wwpMarshfield, WI 54449-5703 · (715) 389-0660
Fax(920) 887-7973
Organization SubpartYesParent: Marshfield Clinic Health System Inc
Authorized OfficialGordon T EdwardsCfo/coo · (715) 387-5823
Enumeration DateAugust 26, 2010
Last NPPES UpdateMarch 3, 20224 updates tracked since enumeration
NPPES CertifiedMarch 3, 2022
✔ NPI 1851607972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
705 S UNIVERSITY AVE, Beaver Dam, WI 53916

Other Names 1

Doing Business As(inactive) Mmc - Beaver Dam Women's Health Center

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

(inactive) Mmc - Beaver Dam Women's Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,444

Medicare enrollment records show 1,444 clinicians reassign Medicare billing to (inactive) Mmc - Beaver Dam Women's Health Center, which bills Medicare for the services they deliver. Of these, 40 practice at this address and 52 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 65

Nurse Practitioner216
Certified Registered Nurse Anesthetist (CRNA)159
Emergency Medicine131
Physical Therapist in Private Practice107
Anesthesiology81
Hospitalist76
Obstetrics/Gynecology58
Family Practice52
57 other specialties564

Nearest to this location (20)

See all 1,444
Family Practice
NPI 1154819761
705 S UNIVERSITY AVE STE 400
Beaver Dam, WI 53916
(208) 887-5975
✔ PECOSSame address
Certified Nurse Midwife (CNM)
NPI 1346711108
705 S UNIVERSITY AVE STE 300
Beaver Dam, WI 53916
(262) 370-8358
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1073802161
705 S UNIVERSITY AVE STE 200
Beaver Dam, WI 53916
(920) 887-9272
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1851386213
705 S UNIVERSITY AVE SUITE 300
Beaver Dam, WI 53916
(920) 885-6090
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1821086000
705 S UNIVERSITY AVE STE 350
Beaver Dam, WI 53916
(920) 887-0379
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1831549005
705 S UNIVERSITY AVE SUITE 300
Beaver Dam, WI 53916
(920) 885-6090
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1578544029
705 S UNIVERSITY AVE STE 150
Beaver Dam, WI 53916
(920) 219-4009
✔ PECOSSame address
Certified Nurse Midwife (CNM)
NPI 1659366821
705 S UNIVERSITY AVE SUITE 300
Beaver Dam, WI 53916
(920) 885-6090
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1992458376
707 S UNIVERSITY AVE
Beaver Dam, WI 53916
(920) 356-6558
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1649899709
707 S UNIVERSITY AVE
Beaver Dam, WI 53916
(920) 821-0071
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1326636135
707 S UNIVERSITY AVE
Beaver Dam, WI 53916
(920) 887-7181
Same address
Interventional Cardiology
NPI 1437123049
707 S UNIVERSITY AVE
Beaver Dam, WI 53916
(920) 356-6588
✔ PECOS✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1184987364
707 S UNIVERSITY AVE
Beaver Dam, WI 53916
(920) 887-4039
Same address
Anesthesiology
NPI 1942399480
707 S UNIVERSITY AVE
Beaver Dam, WI 53916
(920) 887-7181
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1336766971
707 S UNIVERSITY AVE
Beaver Dam, WI 53916
(920) 887-7181
✔ PECOSSame address
Pathology
NPI 1245200427
707 S UNIVERSITY AVE
Beaver Dam, WI 53916
(920) 887-7181
✔ PECOSSame address
Podiatry
NPI 1467009233
707 S UNIVERSITY AVE
Beaver Dam, WI 53916
(920) 219-4009
✔ PECOS✔ Accepts MedicareSame address
Qualified Speech Language Pathologist
NPI 1972288017
707 S UNIVERSITY AVE
Beaver Dam, WI 53916
(920) 887-7181
Same address
Dermatology
NPI 1316365737
707 S UNIVERSITY AVE
Beaver Dam, WI 53916
(920) 887-7181
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1689868796
707 S UNIVERSITY AVE
Beaver Dam, WI 53916
(920) 887-6612
✔ PECOS✔ Accepts MedicareSame address
See all 1,444 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medical Equipment Supplier Medicare DMEPOS 4

Medicare supplier enrollment and the product categories Mmc - Beaver Dam Pharmacy carries, from the Medicare DMEPOS supplier directory.

Mmc - Beaver Dam Pharmacy

DMEPOS supplier · Beaver Dam, WIOperated by Beaver Dam Community Hospitals Inc.
✔

Accepts Medicare assignment

Mmc - Beaver Dam Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20638973
Medicare Participant SinceJanuary 1, 1998
Supplier Location705 S University Ave Ste 180 Attn: Mmc - Beaver Dam PharmacyBeaver Dam, WI 53916
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 1851607972. It was assigned to this organization in the NPPES registry on August 26, 2010. The provider is doing business as (inactive) Mmc - Beaver Dam Women's Health Center.

Where is Beaver Dam Community Hospitals Inc located?

Beaver Dam Community Hospitals Inc is located at 705 S University Ave, Beaver Dam, WI 53916. The listed phone number is (920) 885-6090.

What is Beaver Dam Community Hospitals Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Beaver Dam Community Hospitals Inc enrolled in Medicare?

Yes. Beaver Dam Community Hospitals Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beaver Dam Community Hospitals Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,444 clinicians in 65 Medicare specialties reassign their Medicare billing to Beaver Dam Community Hospitals Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (216), Certified Registered Nurse Anesthetist (CRNA) (159) and Emergency Medicine (131). Of these, 40 practice at this address and 52 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Beaver Dam Community Hospitals Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Mmc - Beaver Dam Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

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.