Ssm Health Dean Medical Group - Baraboo

LBN: Dean Health Systems, Inc,
Ssm Health Dean Medical Group - Baraboo is an health care organization with primary practice located at 1700 Tuttle St , Baraboo WI 53913-3319. 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 (608) 355-3800, or through Grinnell, Amy J via phone (608) 260-3586.

Contact Information

Primary practice address
1700 Tuttle St Baraboo WI 53913-3319
Fax: (608) 355-7001
Website:
Authorized official contact:
Name: Grinnell, Amy J

Health care specialties

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

Profile Details

NPI number 1447295787
LBN Legal business name Dean Health Systems, Inc,
DBA Doing business as Ssm Health Dean Medical Group - Baraboo
Authorized official Grinnell, Amy J
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2006
Last updated Aug 3rd, 2020 - about 4 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 1447295787 NPPES
Wisconsin MEDICAID 1053358846

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