MEDICARE: EDGERTON HOSPITAL AND HEALTH SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208VP0000X	Pain Medicine Physician

General Provider Information

NPI Number	:	1538845888
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EDGERTON HOSPITAL AND HEALTH SERVICES INC

Provider Business Mailing Address
First Line	:	11101 N SHERMAN RD
Second Line	:
City	:	EDGERTON
State	:	WI
Zip	:	53534-9002
Country	:	US
Telephone Number	:	608-884-3441
Fax Number	:

Provider Business Practice Location Address
First Line	:	757 E MILWAUKEE ST STE A
Second Line	:
City	:	WHITEWATER
State	:	WI
Zip	:	53190-2153
Country	:	US
Telephone Number	:	608-884-1609
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MARC AUGSBURGER
Credential	:
Telephone Number	:	608-884-3441

Provider Enumeration Date	:	06/22/2023
Last Update Date	:	02/24/2026

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