Organization
DEAN HEALTH SYSTEMS, INC.
Active
Parent organization
DEAN HEALTH SYSTEMS, INC.
Other names
SSM Health Dean Medical Group- Columbus
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEAN HEALTH SYSTEMS, INC.
Authorized official
AMY J GRINNELL (VICE PRESIDENT-FINANCE)
(608) 260-3586
Entity
Organization
Contact information
Practice address
1513 PARK AVE, COLUMBUS, WI 53925-1618
(920) 623-9611
(920) 623-1788
Mailing address
1513 PARK AVE, COLUMBUS, WI 53925-1618
(920) 623-9611
(920) 623-1788
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137082519
OFFICE OF WORKERS COMP
WI
05
—
32824600
—
WI
01
—
391628491056
TRICARE
WI
01
—
391628491227
BLUE CROSS BLUE SHIELD
WI
01
—
391628491AP
WPS
WI
01
—
P12
DEAN HEALTH INSURANCE
WI
Enumeration date
06/16/2006
Last updated
08/03/2020
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