St. Marys Dean Ventures Inc.

Organization Active NPI Durable Medical Equipment & Medical Supplies · Cuba City, WI

NPI 1487698353 · NPPES record last updated Oct 29, 2021

Key facts

NPI
1487698353
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
ST. MARYS DEAN VENTURES INC.
Practice address
207 E Skelly St
Cuba City, WI 53807-1453
Phone
(608) 744-2767
Fax
(608) 744-3578
NPI assigned
Jun 15, 2006
Organization subpart
Yes
Parent organization (as reported)
ST. MARYS DEAN VENTURES INC.

Authorized official

Name
Amy J Grinnell
Title
Chief Financial Officer
Phone
(608) 260-3586

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

National Provider Directory

Part of
Evansville Clinic

Locations

207 E Skelly St
Cuba City, WI 53807
Phone (608) 744-2767

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X WI Yes

Addresses

Primary practice location

207 E Skelly St
Cuba City, WI 53807-1453

Mailing address

207 E Skelly St
Cuba City, WI 53807-1453
Phone (608) 744-2767

Other identifiers

IdentifierTypeStateIssuer
137082522OtherWIOFFICE OF WORKERS COMP
N48OtherWIDEAN HEALTH INSURANCE
32780900MedicaidWI

Other names

  • Dean Clinic - Cuba City Doing business as

Other providers in Cuba City, WI

All providers in Cuba City, WI · Durable Medical Equipment & Medical Supplies in Wisconsin

Sources for this page

Verify at the official NPI Registry.