Healthcare Provider Details

I. General information

NPI: 1386688521
Provider Name (Legal Business Name): DEAN HEALTH SYSTEMS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 08/03/2020
Certification Date: 08/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

833 S IOWA ST STE 102
DODGEVILLE WI
53533-1900
US

IV. Provider business mailing address

833 S IOWA ST STE 102
DODGEVILLE WI
53533-1900
US

V. Phone/Fax

Practice location:
  • Phone: 608-935-3301
  • Fax: 608-935-3823
Mailing address:
  • Phone: 608-935-3301
  • Fax: 608-935-3823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateWI

VIII. Authorized Official

Name: AMY J GRINNELL
Title or Position: VICE PRESIDENT-FINANCE
Credential:
Phone: 608-260-3586