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Beaver Dam Community Hospitals Inc

NPI 1992212062ActiveOrganization· Internal Medicine· Beaver Dam, WI

Internal Medicine in Beaver Dam, Wisconsin, registered in NPPES in January 2018, part of Marshfield Clinic Health System Inc. The authorized official on file is Gordon T. Edwards, Cfo/Coo/Ao.

Overview

NPI1992212062
StatusActive
Entity typeOrganization (subpart)
Parent organizationMarshfield Clinic Health System Inc
NPI issuedJan 10, 2018
Last updated in NPPESMar 7, 2022
Certified by providerMar 7, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Internal Medicine Primary207R00000X851-800WI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 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 Internal Medicine providers in Beaver Dam

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