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	282NC0060X	Critical Access Hospital	1022	WI
2	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1326192261
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	:	831 ARTHUR DR
Second Line	:
City	:	MILTON
State	:	WI
Zip	:	53563-3728
Country	:	US
Telephone Number	:	608-868-3526
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	MARC A AUGSBURGER
Credential	:
Telephone Number	:	608-884-1651

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	04/21/2026

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