St. Marys Dean Ventures Inc.

LBN: St. Marys Dean Ventures Inc.
St. Marys Dean Ventures Inc. is an health care organization with primary practice located at 1700 Tuttle St , Baraboo WI 53913-3319. The organization recently has 5 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Radiology, Ambulatory Health Care Facilities / Radiology, Mammography, Laboratories / Clinical Medical Laboratory. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. St. Marys Dean Ventures Inc. can be contacted via phone (888) 968-4681, or through Grinnell, Amy J via phone (608) 260-3586.

Contact Information

Primary practice address
1700 Tuttle St Baraboo WI 53913-3319
Phone: (888) 968-4681
Fax: (608) 355-7001
Website:
Map and Directions
Authorized official contact:
Name: Grinnell, Amy J
Phone: (608) 260-3586

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X Wisconsin
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X Wisconsin
Ambulatory Health Care Facilities / Radiology 261QR0200X Wisconsin
Ambulatory Health Care Facilities / Radiology, Mammography 261QR0206X Wisconsin
Laboratories / Clinical Medical Laboratory 291U00000X Wisconsin

Profile Details

NPI number 1811944093
LBN Legal business name St. Marys Dean Ventures Inc.
DBA Doing business as
Authorized official Grinnell, Amy J
Entity Organization
Organization subpart 1 Yes
Enumeration date May 31st, 2006
Last updated Oct 29th, 2021 - 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 1811944093 NPPES
Wisconsin MEDICAID 32829800
Wisconsin MEDICAID 200403240A
Wisconsin MEDICAID 32882300
Wisconsin MEDICAID 0592394
Wisconsin MEDICAID 32780900
Wisconsin MEDICAID 5E293GR
Wisconsin MEDICAID 32824600
Wisconsin MEDICAID 200232380A

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