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Beaver Dam Community Hospitals Inc

NPI 1306389408ActiveOrganization· Chiropractor· Beaver Dam, WI

Chiropractor in Beaver Dam, Wisconsin, registered in NPPES in November 2016, part of Marshfield Clinic Health System Inc. The authorized official on file is Gordon T. Edwards, Cfo/Coo/Ao.

Overview

NPI1306389408
StatusActive
Entity typeOrganization (subpart)
Parent organizationMarshfield Clinic Health System Inc
NPI issuedNov 22, 2016
Last updated in NPPESMar 2, 2022
Certified by providerMar 2, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Chiropractor Primary111N00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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