Ssm Health Dean Medical Group - Beaver Dam

LBN: Dean Health Systems, Inc.
Ssm Health Dean Medical Group - Beaver Dam is an health care organization with primary practice located at 705 S University Ave Ste 500, Beaver Dam WI 53916-3081. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Dean Health Systems, Inc. can be contacted via phone (920) 887-3102, or through Grinnell, Amy J via phone (608) 260-3586.

Contact Information

Primary practice address
705 S University Ave Ste 500 Beaver Dam WI 53916-3081
Phone: (920) 887-3102
Fax: (920) 885-8788
Website:
Map and Directions
Authorized official contact:
Name: Grinnell, Amy J
Phone: (608) 260-3586

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Wisconsin

Profile Details

NPI number 1073557013
LBN Legal business name Dean Health Systems, Inc.
DBA Doing business as Ssm Health Dean Medical Group - Beaver Dam
Authorized official Grinnell, Amy J
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2006
Last updated Aug 3rd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073557013 NPPES
Wisconsin MEDICAID 1053358846

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