Beaver Dam Community Hospitals Inc
Pharmacy
707 S University Ave, Beaver Dam
Wisconsin, 53916-3027
920-887-4146 920-887-6613
Beaver Dam Community Hospitals Inc is not a DME supplier for medicare equipments and products.
Beaver Dam Community Hospitals Inc is a Pharmacy in Beaver Dam, Wisconsin. This organization is also known as sub part of Marshfield Clinic Health System Inc. It is located at 707 S University Ave, Beaver Dam and it's customer support contact number is 920-887-4146. The authorized person of Beaver Dam Community Hospitals Inc is Gordon T Edwards who is Cfo/coo/ao of the pharmacy and his contact number is 715-387-5823.
Beaver Dam Community Hospitals Inc is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Beaver Dam Community Hospitals Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Beaver Dam Community Hospitals Inc |
| Type: | Pharmacy |
| Location: | 707 S University Ave, Beaver Dam, Wisconsin, 53916-3027 |
| Phone: | 920-887-4146 |
| Fax: | 920-887-6613 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Gordon T Edwards |
| Position: | Cfo/coo/ao |
| Contact Number: | 715-387-5823 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1720202864 |
| Parent Organization: | Marshfield Clinic Health System Inc |
| NPI Enumeration Date: | 12 Apr, 2007 |
| NPI Last Update On: | 07 Mar, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Beaver Dam Community Hospitals Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | | | Primary | |
| General Acute Care Hospital | 5344-042 | West Virginia | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 5344-042 | Other | Wisconsin | State License # |
| 5111923 | Other | Wisconsin | Nabp Number |
| 5111923 | Other | Wisconsin | Wi Medicaid Number |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1000 N Oak Ave, Attn: Provider Enrollment Services/wwp Marshfield, Wisconsin |
| Zip: | 54449-5703 |
| Phone Number: | 715-389-0660 |
Patients can reach Beaver Dam Community Hospitals Inc at
707 S University Ave, Beaver Dam, Wisconsin or can
call on customer care at 920-887-4146.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.