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DEAN HEALTH SYSTEMS INC. NPI 1811931835


NPI Information

NPI: 1811931835
Provider Name: DEAN HEALTH SYSTEMS, INC.

Doing Business As: SSM HEALTH DEAN MEDICAL GROUP - WATERLOO

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 52D0393240

Address:
105 HIGHLAND TER
WATERLOO, WI
ZIP 53594
Phone: (920) 478-2141
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DEAN HEALTH SYSTEMS, INC. is a durable medical equipment medical supplies in Waterloo, WI. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. DEAN HEALTH SYSTEMS, INC. NPI is 1811931835. The provider is registered as an organization entity type.
The provider Is Doing Business As Ssm Health Dean Medical Group - Waterloo.

The provider's business location address is:

105 HIGHLAND TER
WATERLOO, WI
ZIP 53594-217
Phone: (920) 478-2141
Fax: (920) 478-3820

The provider's authorized official is Amy J Grinnell .
The authorized official title is Vice President - Finance and has the following contact phone number (608) 260-3586.

The CLIA number assigned to this NPI record is 52D0393240 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/16/2006 and was last updated on 8/3/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesWISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11053358846MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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