Family Medicine
BEAVER DAM COMMUNITY HOSPITALS INC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1538491998 · enumerated 2010-02-09 · record updated 2022-03-03. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: GORDON EDWARDS, CFO/COO/AO · (715) 387-5823
Other names: (INACTIVE) MARSHFIELD MEDICAL CENTER - BEAVER DAM FAMILY PRACTICE
Addresses and phones
- Mailing address 1000 N OAK AVE, ATTN: PROVIDER ENROLLMENT SERVICES/WWP, MARSHFIELD, WI, 54449-5703 (715) 389-0660 Google Maps Apple Maps OpenStreetMap
- Practice location 130 WARREN ST STE 132, BEAVER DAM, WI, 53916 (920) 887-7181 Fax (920) 887-6833 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · Primary · License 851-800 WI
In this directory
Locations and evidence
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Practice location
BEAVER DAM, WI, 53916
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.