Active NPI
Dean Health Systems, Inc.
Doing business as SSM Health Dean Medical Group - Whitewater
- Durable Medical Equipment & Medical Supplies
- Whitewater, WI
National Provider Identifier
1962447953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- DEAN HEALTH SYSTEMS, INC.
- Doing business as
- SSM Health Dean Medical Group - Whitewater
- Practice address
- 1305 W Main St
Whitewater, WI 53190-1503 - Phone
- (262) 473-4548
- Fax
- (262) 472-7691
- NPI assigned
- Jun 17, 2006
- Last updated
- Aug 3, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | WI | Primary |
Addresses
Primary practice location
1305 W Main St
Whitewater, WI 53190-1503
Mailing address
1305 W Main St
Whitewater, WI 53190-1503
Phone (262) 473-4548
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053358846 | Medicaid | WI |
Other names 1
- SSM Health Dean Medical Group - Whitewater
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D0389929 | SSM Health Dean Medical Group - Whitewater | Certificate of waiver | Apr 25, 2027 |
National Provider Directory
National Provider DirectoryMember of 3
Organizations this organization is a member of, according to the National Provider Directory.
-
dba SSM Health Dean Medical Group - Edgerton
- Durable Medical Equipment & Medical Supplies
- Edgerton, WI
- NPI 1073558045
Member Of
-
dba SSM Health St Mary's Hospital - Madison
- Psychiatric Hospital Unit
- Madison, WI
- NPI 1386688240
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596412800000",
"number": "1962447953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 W MAIN ST",
"city": "WHITEWATER",
"state": "WI",
"postal_code": "531901503",
"telephone_number": "262-473-4548",
"fax_number": "262-472-7691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 W MAIN ST",
"city": "WHITEWATER",
"state": "WI",
"postal_code": "531901503",
"telephone_number": "262-473-4548",
"fax_number": "262-472-7691"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEAN HEALTH SYSTEMS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-17",
"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 - Whitewater",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SSM Health Dean Medical Group - Whitewater",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Whitewater, WI
- Shirley Cutshall
- Nancy S Dade-Stone, LPN
- Dales Bootery LLC
- Dean Health Systems, Inc. (SSM Health Davis Duehr Dean Eye Care - Whitewater)
- Dean Health Systems, Inc. (Whitewater Vision Center)
- Dean Retail Services, Inc. (SSM Health Davis Duehr Dean Eye Care)
- Krystal Deleon, LPC
- Kristy L Dollinger, DNP, APNP, FNP-BC
- Edgerton Hospital and Health Services
- Edgerton Hospital and Health Services Inc
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.
- 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.