Dean Health Systems, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DEAN HEALTH SYSTEMS, INC.

Doing business as

SSM Health Dean Medical Group - Waterloo

Practice address

105 Highland Ter
Waterloo, WI 53594-2217

Phone

(920) 478-2141

Fax

(920) 478-3820

NPI assigned

Jun 16, 2006

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• SSM Health Dean Medical Group - Waterloo Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 4

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

• Dean Health Systems, Inc

  dba SSM Health Outpatient Center

  • Durable Medical Equipment & Medical Supplies
  • Madison, WI
  • NPI 1821240979

  Member Of

  NPD member
• Memorial Hospital of Boscobel

  • Rural Health Clinic/Center
  • Fennimore, WI
  • NPI 1437448891

  Member Of

  NPD member
• SSM Health Care of Wisconsin, Inc

  dba SSM Health St Mary's Hospital - Madison

  • Psychiatric Hospital Unit
  • Madison, WI
  • NPI 1386688240

  Member Of

  NPD member
• St. Marys Dean Ventures Inc.

  dba Davis Duehr Dean Boscobel

  • Eyewear Supplier
  • Boscobel, WI
  • NPI 1093751653

  Member Of

  NPD member

Locations

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": "1811931835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 HIGHLAND TER",
            "city": "WATERLOO",
            "state": "WI",
            "postal_code": "535942217",
            "telephone_number": "920-478-2141",
            "fax_number": "920-478-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 HIGHLAND TER",
            "city": "WATERLOO",
            "state": "WI",
            "postal_code": "535942217",
            "telephone_number": "920-478-2141",
            "fax_number": "920-478-3820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAN HEALTH SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "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": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053358846",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSM Health Dean Medical Group - Waterloo",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SSM Health Dean Medical Group - Waterloo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Borchert, RN
• Tasha Bynum, CNC, IHP, LMT
• Rebecca L Christian, LPN
• City of Waterloo (Waterloo Fire Department)
• City of Waterloo (Waterloo Fire Department)
• DRS Anderson & Arena
• Floxy Abilitynest LLC
• Cassandra Hartwig, NP
• Karen Lynette Jiles
• Holly Keddington, PA-C

• Durable Medical Equipment & Medical Supplies in Waterloo, WI
• Providers in Waterloo, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.