Davis Duehr Dean Montello

LBN: St. Marys Dean Ventures Inc.
Davis Duehr Dean Montello is an health care organization with primary practice located at 215B Church St , Montello WI 53949-9763. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. St. Marys Dean Ventures Inc. can be contacted via phone (608) 297-2501, or through Grinnell, Amy J via phone (608) 260-3586.

Contact Information

Primary practice address
215B Church St Montello WI 53949-9763
Phone: (608) 297-2501
Fax: (608) 297-2648
Website:
Map and Directions
Authorized official contact:
Name: Grinnell, Amy J
Phone: (608) 260-3586

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X Wisconsin

Profile Details

NPI number 1417993072
LBN Legal business name St. Marys Dean Ventures Inc.
DBA Doing business as Davis Duehr Dean Montello
Authorized official Grinnell, Amy J
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 21st, 2006
Last updated Oct 29th, 2021 - about 3 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 1417993072 NPPES
Wisconsin MEDICAID 38715400
Wisconsin Other 556775
Wisconsin Other 137082509
Wisconsin Other 14699
Wisconsin Other 20385
Wisconsin Other 054014

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