NPI Code Details Logo

NPI 1730290511

NPI 1730290511 : DEAN HEALTH SYSTEMS, INC. : PRAIRIE DU SAC, WI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1730290511
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    DEAN HEALTH SYSTEMS, INC. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/31/2006
-----------------------------------------------------
    Last Update Date     |    08/03/2020
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    250 26TH ST SUITE 240
-----------------------------------------------------
    City                 |    PRAIRIE DU SAC
-----------------------------------------------------
    State                |    WI
-----------------------------------------------------
    Zip                  |    53578-2204
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    608-643-7899
-----------------------------------------------------
    Fax                  |    608-644-2575
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    250 26TH ST SUITE 240
-----------------------------------------------------
    City                 |    PRAIRIE DU SAC
-----------------------------------------------------
    State                |    WI
-----------------------------------------------------
    Zip                  |    53578-2204
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    608-643-7899
-----------------------------------------------------
    Fax                  |    608-644-2575
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    VICE PRESIDENT-FINANCE
-----------------------------------------------------
    Name                 |     AMY J GRINNELL 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    608-260-3586
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    332B00000X
-----------------------------------------------------
    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.