Beaver Dam Community Hospitals Inc
NPI 1720202864ActiveOrganization· Pharmacy· Beaver Dam, WI
Pharmacy in Beaver Dam, Wisconsin, registered in NPPES in April 2007, part of Marshfield Clinic Health System Inc. The authorized official on file is Gordon T. Edwards, Cfo/Coo/Ao.
Overview
| NPI | 1720202864 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Marshfield Clinic Health System Inc |
| NPI issued | Apr 12, 2007 |
| Last updated in NPPES | Mar 7, 2023 |
| Certified by provider | Mar 3, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| General Acute Care Hospital | 282N00000X | 5344-042 | WV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Pharmacy providers in Beaver Dam
- 1952335176
- 1295771780
- 1124210166