(INACTIVE) MARSHFIELD MEDICAL CENTER - BEAVER DAM WOUND CLINIC
NPI 1992212062
Internal Medicine 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 1992212062. It was assigned to this organization in the NPPES registry on January 10, 2018. The provider is doing business as (inactive) Marshfield Medical Center - Beaver Dam Wound Clinic.

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

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since January 10, 2018

707 S UNIVERSITY AVE, BEAVER DAM, WI 53916(920) 887-7181 Get Directions Write a Review

NPPES record last updated: March 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2022, Jan 9, 2020, May 13, 2019 and 2 more (5 updates tracked since 2018).

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About (inactive) Marshfield Medical Center - Beaver Dam Wound Clinic NPPES

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

(INACTIVE) MARSHFIELD MEDICAL CENTER - BEAVER DAM WOUND CLINIC (NPI 1992212062) is a healthcare organization registered as an internal medicine in Beaver Dam, Wisconsin and active in the NPI registry since January 2018. The organization lists Gordon T Edwards, Cfo/coo/ao, as its authorized official.

NPPES Registry Identity

NPI1992212062

Entity TypeOrganization

Primary Taxonomy207R00000X

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) 887-7181

Organization SubpartYesParent: Marshfield Clinic Health System Inc

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

Enumeration DateJanuary 10, 2018

Last NPPES UpdateMarch 7, 20225 updates tracked since enumeration

NPPES CertifiedMarch 7, 2022

✔ NPI 1992212062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in WI · 851-800

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

707 S UNIVERSITY AVE, Beaver Dam, WI 53916

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Other Names 1

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

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 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