NPI 1962463760 · live from the CMS NPI Registry
Beaver Dam Community Hospitals INC
Hospice Care, Community Based in Beaver Dam, WI. National Provider Identifier 1962463760, active.
NPI record
| NPI | 1962463760 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 707 S University Ave, Beaver Dam, WI 53916 |
| Practice phone | 920-887-4050 |
| Mailing address | 1000 N Oak Ave, Provider Enrollment Services - Shp Fl 2, Marshfield, WI 54449 |
| Enumerated | March 31, 2006 |
| Last updated | July 18, 2025 |
| Authorized official | Jolyn Munson, Vp Revenue Cycle Operations |
| Other names | Hillside Hospice |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based primary | 251G00000X | 1518 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.