St. Marys Dean Ventures Inc.
Organization Active NPI Durable Medical Equipment & Medical Supplies · Cambria, WI
NPI 1376587337 · NPPES record last updated Oct 29, 2021
Key facts
- NPI
- 1376587337
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- ST. MARYS DEAN VENTURES INC.
- Practice address
- 306 E Edgewater St
Cambria, WI 53923-8809 - Phone
- (920) 348-5114
- Fax
- (920) 348-5113
- NPI assigned
- Jun 16, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- ST. MARYS DEAN VENTURES INC.
Authorized official
- Name
- Amy J Grinnell
- Title
- Chief Financial Office
- Phone
- (608) 260-3586
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Evansville Clinic
- Part of
- Evansville Clinic
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | WI | Yes |
Addresses
Primary practice location
306 E Edgewater St
Cambria, WI 53923-8809
Mailing address
PO Box 24
Cambria, WI 53923-0024
Phone (920) 348-5114
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32824600 | Medicaid | WI | |
| M43 | Other | WI | DEAN HEALTH INSURANCE |
| 137082517 | Other | WI | OFFICE OF WORKERS COMP |
Other names
- AYAZ SAMADANI MD CAMBRIA
Other providers in Cambria, WI
- Erin Ashcraft
- Cambria Friesland School District
- Growing With Grace Therapy LLC
- Jeannie Holden
- Jill Eileen Jones
- Debra Torrison
- Village of Cambria
- Morgan Yelk
- Tyler James Zacho
All providers in Cambria, WI · Durable Medical Equipment & Medical Supplies in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.