Beaver Dam Community Hospitals Inc in Beaver Dam - Pharmacy
Beaver Dam Community Hospitals Inc - NPI 1720202864
Beaver Dam Community Hospitals Inc is a Pharmacy in Beaver Dam, Wisconsin. Beaver Dam Community Hospitals Inc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Beaver Dam Community Hospitals Inc is 1720202864. The last update date is 2023-03-07.
Beaver Dam Community Hospitals Inc's current location address is 707 S University Ave, Beaver Dam, Wisconsin. You can contact this provider via phone number 9208874146 and fax number 9208876613. The mailing address for Beaver Dam Community Hospitals Inc is 707 S University Ave, Beaver Dam, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Beaver Dam Community Hospitals Inc |
|---|---|
| Address | 707 S University Ave, Beaver Dam, Wisconsin |
| Phone Number | 9208874146 |
| Fax Number | 9208876613 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO/COO/AO |
|---|---|
| Authorized Official Name | Edwards T Gordon |
| Telephone Number | 7153875823 |
NPI Number Detail
| NPI Number | 1720202864 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 707 S University Ave |
|---|---|
| City | Beaver Dam |
| State | Wisconsin (WI) |
| Post Code | 539163027 |
| Phone Number | 9208874146 |
| Fax Number | 9208876613 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
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Definition: 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 presc |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5344-042 | WI | STATE LICENSE # | |
| 5111923 | WI | NABP NUMBER | |
| 5111923 | WI | WI MEDICAID NUMBER |
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What is the unique 10-digit identification code issued to Beaver Dam Community Hospitals Inc by the Centers for Medicare & Medicaid Services?
The Beaver Dam Community Hospitals Inc has been assigned the NPI (National Provider Identifier) 1720202864 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Beaver Dam Community Hospitals Inc's physical address?
The Beaver Dam Community Hospitals Inc is physically located at 707 S University Ave, in the city of Beaver Dam, WI, with the postal code 539163027.
What is the Beaver Dam Community Hospitals Inc's specialty and taxonomy code?
The Beaver Dam Community Hospitals Inc's specialty is Pharmacy, and the corresponding taxonomy code is 333600000X.
When was the Beaver Dam Community Hospitals Inc's 1720202864 issued?
The Beaver Dam Community Hospitals Inc's 1720202864 was issued on 2007-04-12.
When was the Beaver Dam Community Hospitals Inc's information last updated?
The Beaver Dam Community Hospitals Inc's information was last updated on 2023-03-07.
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