| Beaver Dam Community Hospitals Inc | |
|
705 S University Ave Ste 360 Beaver Dam WI 53916-3080 | |
| (920) 356-6588 | |
| (920) 356-6567 |
| Full Name | Beaver Dam Community Hospitals Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 705 S University Ave Ste 360, Beaver Dam, Wisconsin |
| Authorized Official Name and Position | Gordon T Edwards (CFO/COO/AO) |
| Authorized Official Contact | 7153875823 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beaver Dam Community Hospitals Inc 1000 N Oak Ave Attn: Provider Enrollment Services/wwp Marshfield WI 54449-5703 Ph: (715) 389-0660 | Beaver Dam Community Hospitals Inc 705 S University Ave Ste 360 Beaver Dam WI 53916-3080 Ph: (920) 356-6588 |
| NPI Number | 1508184896 |
|---|---|
| Provider Enumeration Date | 05/11/2010 |
| Last Update Date | 03/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508184896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Beaver Dam Community Hospitals, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 S University Ave Ste 150, Beaver Dam, WI 53916 Phone: 920-219-4009 Fax: 920-219-9709 | |
Ayaz Samandani Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Corporate Dr, Suite H, Beaver Dam, WI 53916 Phone: 920-887-7731 Fax: 920-887-3201 | |
Quad/med, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Corporate Dr Ste A, Beaver Dam, WI 53916 Phone: 414-566-4000 | |
Beaver Dam Community Hospitals Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Warren St Ste 132, Beaver Dam, WI 53916 Phone: 920-887-7181 Fax: 920-887-6833 | |
Victor W. Caceres, M.d.,s.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 919 S. University Avenue, Beaver Dam, WI 53916 Phone: 920-885-9238 Fax: 920-885-4405 | |
Beaver Dam Community Hospitals Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 S University Ave, Beaver Dam, WI 53916 Phone: 920-885-6090 Fax: 920-887-7973 |