Dean Clinic Baraboo Specialty

LBN: Dean Health Systems, Inc.
Dean Clinic Baraboo Specialty is an health care organization with primary practice located at 1626 Tuttle St , Baraboo WI 53913. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Dean Health Systems, Inc. can be contacted via phone (608) 355-2145, or through Grinnell, Amy J via phone (608) 260-3586.

Contact Information

Primary practice address
1626 Tuttle St Baraboo WI 53913
Fax:
Website:
Authorized official contact:
Name: Grinnell, Amy J

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Wisconsin
Suppliers / Prosthetic/Orthotic Supplier 335E00000X Wisconsin

Profile Details

NPI number 1710903828
LBN Legal business name Dean Health Systems, Inc.
DBA Doing business as Dean Clinic Baraboo Specialty
Authorized official Grinnell, Amy J
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 14th, 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 1710903828 NPPES
Wisconsin Other 137082530 OFFICE OF WORKERS COMP
Wisconsin Other M64 OFFICE OF WORKERS COMP
Wisconsin MEDICAID 32829800 OFFICE OF WORKERS COMP
Wisconsin MEDICAID 200403240A OFFICE OF WORKERS COMP

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