MEDICARE: DEAN HEALTH SYSTEMS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730290511
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEAN HEALTH SYSTEMS, INC.

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

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

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	08/03/2020

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Directions to “DEAN HEALTH SYSTEMS, INC. ” Practice Location

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