Healthcare Provider Details
I. General information
NPI: 1700999794
Provider Name (Legal Business Name): DEAN HEALTH SYSTEMS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/16/2006
Last Update Date: 08/03/2020
Certification Date: 08/03/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
800 COMPASSION WAY SUITE 136
DODGEVILLE WI
53533-1956
US
IV. Provider business mailing address
800 COMPASSION WAY SUITE 136
DODGEVILLE WI
53533-1956
US
V. Phone/Fax
- Phone: 608-937-7000
- Fax: 608-937-7001
- Phone: 608-937-7000
- Fax: 608-937-7001
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AMY
J
GRINNELL
Title or Position: VICE PRESIDENT-FINANCE
Credential:
Phone: 608-260-3586