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Contact Information

BEAVER DAM COMMUNITY HOSPITALS INC
707 S UNIVERSITY AVE
BEAVER DAM, WI53916-3089
 Phone: 920-887-4053
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BEAVER DAM COMMUNITY HOSPITALS INC

NPI # 1295771780
LBN Legal business name BEAVER DAM COMMUNITY HOSPITALS INC
Authorized official JOLYN MUNSON - (VP REVENUE CYCLE OPERATIONS)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/21/2006
Last updated 07/18/2025 - About 11 months ago
Identifiers
WI License # 5344-42
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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