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Beaver Dam Community Hospitals Inc

NPI 1740704089ActiveOrganization· Specialist· Beaver Dam, WI

Specialist in Beaver Dam, Wisconsin, registered in NPPES in July 2017, part of Marshfield Clinic Health System Inc. The authorized official on file is Gordon T. Edwards, Cfo/Coo/Ao.

Overview

NPI1740704089
StatusActive
Entity typeOrganization (subpart)
Parent organizationMarshfield Clinic Health System Inc
NPI issuedJul 28, 2017
Last updated in NPPESMar 3, 2022
Certified by providerMar 3, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000X——

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 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 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

Other Specialist providers in Beaver Dam

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