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
National Provider Directory
- Part of
- Evansville Clinic
Locations
207 E Skelly St
Cuba City, WI 53807
Phone (608) 744-2767
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137082522 | Other | WI | OFFICE OF WORKERS COMP |
| N48 | Other | WI | DEAN HEALTH INSURANCE |
| 32780900 | Medicaid | WI |
Other names
- Dean Clinic - Cuba City
Other providers in Cuba City, WI
- Robert R Schroeder
- Southwest Health Center
- Southwest Health Center, Inc.
- Southwest Health Center, Inc.
- Southwest Health Center, Inc.
- SWR1, Inc.
- Elizabeth Ann Thompson I
- Melinda Jayne Trevethan
- Christianne M Willis
- Jon Joseph Wilson
All providers in Cuba City, 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.