BEAVER DAM COMMUNITY HOSPITALS INC NPI 1720202864

NPI Information

NPI: 1720202864
Provider Name: BEAVER DAM COMMUNITY HOSPITALS INC
Classification: Pharmacy - 333600000X
Entity Type: Organization
Doing Business As: (INACTIVE) HILLSIDE UNIT PHARMACY
Address: 707 S UNIVERSITY AVE
BEAVER DAM, WI
ZIP 53916
Phone: (920) 887-4146

Map and Directions

Get Directions

NPI Details

BEAVER DAM COMMUNITY HOSPITALS INC is a pharmacy in Beaver Dam, WI. The provider 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. BEAVER DAM COMMUNITY HOSPITALS INC NPI is 1720202864. The provider is registered as an organization entity type.
The provider Is Doing Business As (inactive) Hillside Unit Pharmacy.

The provider's business location address is:

707 S UNIVERSITY AVE
BEAVER DAM, WI
ZIP 53916-027
Phone: (920) 887-4146
Fax: (920) 887-6613

The provider's authorized official is Gordon T Edwards .
The authorized official title is Cfo/coo/ao and has the following contact phone number (715) 387-5823.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 3/7/2023.

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
1	282N00000X	General Acute Care Hospital		5344-042	WEST VIRGINIA	No
2	333600000X	Pharmacy				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5344-042	OTHER	WISCONSIN	STATE LICENSE #
2	5111923	OTHER	WISCONSIN	NABP NUMBER
3	5111923	OTHER	WISCONSIN	WI MEDICAID NUMBER

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI