BEAVER DAM COMMUNITY HOSPITALS INC NPI 1114675089

NPI Information

  • NPI: 1114675089
  • Provider Name: BEAVER DAM COMMUNITY HOSPITALS INC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • :
  • Address: 140 GATEWAY DR
    WAUPUN, WI
    ZIP 53963
  • Phone: (715) 324-3191

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NPI Details

BEAVER DAM COMMUNITY HOSPITALS INC is a durable medical equipment medical supplies in Waupun, WI. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. BEAVER DAM COMMUNITY HOSPITALS INC NPI is 1114675089. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

140 GATEWAY DR
WAUPUN, WI
ZIP 53963-276
Phone: (715) 324-3191

The provider's authorized official is Jolyn Munson .
The authorized official title is Vp Revenue Cycle Operations and has the following contact phone number (605) 328-6585.

The enumeration date for this NPI number is 3/10/2022 and was last updated on 7/18/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1156FX1800XTechnician/TechnologistOpticianNo
2332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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