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General NPI Number Information
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NPI Number | 1154350049
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Entity Type | Organization
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Legal Business Name | EDGERTON HOSPITAL AND HEALTH SERVICES INC.
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 09/27/2025
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Provider Practice Location Address
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Address Line | 11101 N SHERMAN RD
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City | EDGERTON
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State | WI
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Zip | 53534-9002
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Country | US
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Telephone | 608-884-3441
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Fax | 608-884-1669
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Provider Business Mailing Address
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Address Line | 11101 N SHERMAN RD
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City | EDGERTON
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State | WI
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Zip | 53534-9002
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Country | US
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Telephone | 608-884-3441
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Fax | 608-884-1669
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | MARC AUGSBURGER
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Credential |
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Telephone | 608-884-3441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 1022
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License Number State | WI
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