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Contact Information

BEAVER DAM COMMUNITY HOSPITALS, INC
705 S UNIVERSITY AVE STE 150
BEAVER DAM, WI53916
 Phone: 920-219-4009
 Fax: 920-219-9709
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for BEAVER DAM COMMUNITY HOSPITALS, INC

NPI # 1023310034
LBN Legal business name BEAVER DAM COMMUNITY HOSPITALS, INC
Authorized official GORDON EDWARDS - (CFO/COO/AO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 11/23/2010
Last updated 03/02/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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