NPIMap

Organization Active NPI

Dean Health Systems, Inc,

Doing business as Dean Clinic - Barneveld

  • Durable Medical Equipment & Medical Supplies
  • Barneveld, WI
National Provider Identifier
1740224997
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DEAN HEALTH SYSTEMS, INC,
Doing business as
Dean Clinic - Barneveld
Practice address
103 Quail Ridge Dr
Barneveld, WI 53507-9408
Phone
(608) 924-3939
Fax
(608) 924-3999
NPI assigned
Jun 16, 2006
Last updated
Aug 3, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
DEAN HEALTH SYSTEMS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amy J Grinnell
Title
Vice President - Finance
Phone
(608) 260-3586

Specialties & licenses 1

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

Addresses

Primary practice location

103 Quail Ridge Dr
Barneveld, WI 53507-9408

Mailing address

103 Quail Ridge Dr
Barneveld, WI 53507-9408
Phone (608) 924-3939

Other identifiers 6

IdentifierTypeStateIssuer
391628491066OtherWITRICARE
391628491261OtherWIBLUE CROSS BLUE SHIELD
137082525OtherWIOFFICE OF WORKERS COMP
32780900MedicaidWI
P19OtherWIDEAN HEALTH INSURANCE
391628491AVOtherWIWPS

Other names 1

  • Dean Clinic - Barneveld Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dean Medical Center27 organizations share this tax ID, including this one
Part of
Dean Medical Center

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Member of 3

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1740224997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 QUAIL RIDGE DR",
            "city": "BARNEVELD",
            "state": "WI",
            "postal_code": "535079408",
            "telephone_number": "608-924-3939",
            "fax_number": "608-924-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 QUAIL RIDGE DR",
            "city": "BARNEVELD",
            "state": "WI",
            "postal_code": "535079408",
            "telephone_number": "608-924-3939",
            "fax_number": "608-924-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAN HEALTH SYSTEMS, INC,",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEAN HEALTH SYSTEMS, INC.",
        "enumeration_date": "2006-06-16",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "GRINNELL",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT - FINANCE",
        "authorized_official_telephone_number": "608-260-3586"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "391628491066",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "391628491261",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE OF WORKERS COMP",
            "identifier": "137082525",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32780900",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTH INSURANCE",
            "identifier": "P19",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WPS",
            "identifier": "391628491AV",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dean Clinic - Barneveld",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dean Clinic - Barneveld",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Barneveld, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.