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SSM HEALTH DEAN MEDICAL GROUP - BEAVER DAM
NPI 1013028893
Durable Medical Equipment & Medical Supplies in Beaver Dam, WI

Active since August 31, 2006CLIA 52D0394045 · Certificate of Compliance
130 CORPORATE DR, BEAVER DAM, WI 53916(920) 877-3102(920) 855-8790 Get Directions Write a Review

NPPES record last updated: February 10, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 10, 2021, Aug 3, 2020, Dec 16, 2016 (3 updates tracked since 2016).

About Ssm Health Dean Medical Group - Beaver Dam NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SSM HEALTH DEAN MEDICAL GROUP - BEAVER DAM (NPI 1013028893) is a healthcare organization registered as a durable medical equipment & medical supplies in Beaver Dam, Wisconsin and active in the NPI registry since August 2006. The organization holds a CLIA Certificate of Compliance certificate valid through June 6, 2027 and lists Amy J Grinnell, Vice President - Finance, as its authorized official.

NPPES Registry Identity

NPI1013028893
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameDEAN HEALTH SYSTEMS, INC.
Location Address130 CORPORATE DRBeaver Dam, WI 53916-3116
Mailing Address130 Corporate DrBeaver Dam, WI 53916-3116 · (920) 877-3102 · Fax (920) 855-8790
Phone(920) 877-3102
Fax(920) 855-8790
Organization SubpartNo
Authorized OfficialAmy J GrinnellVice President - Finance · (608) 260-3586
Enumeration DateAugust 31, 2006
Last NPPES UpdateFebruary 10, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2021
✔ NPI 1013028893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
130 CORPORATE DR, Beaver Dam, WI 53916
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Other Names 1

Doing Business AsSsm Health Dean Medical Group - Beaver Dam

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 52D0394045

Consultants Laboratory Of Wi, LLC Dba Ssm Health Laboratories · Beaver Dam, WI
Active · expires Jun 6, 2027
CLIA Number52D0394045
Laboratory TypePhysician Office
Certificate Effective DateJune 7, 2025
Certificate Expiration DateJune 6, 2027
Laboratory DirectorDr. Shannon K. Rathke
Laboratory Phone(920) 885-8500
Laboratory LocationConsultants Laboratory Of Wi, LLC Dba Ssm Health Laboratories130 Corporate Dr, Beaver Dam, WI 53916
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEIDI BAILEY
Nurse Practitioner (Family)
130 CORPORATE DR
BEAVER DAM, WI 53916
Dodge County (920) 887-3102
CATHERINE EM NELSON
Family Medicine
130 CORPORATE DR
BEAVER DAM, WI 53916
Dodge County (920) 877-3102
JAYME K QUADE APNP
Nurse Practitioner
130 CORPORATE DR
BEAVER DAM, WI 53916
Dodge County (920) 887-3102
LYNDSEY CHRISTENSON APNP
Nurse Practitioner
130 CORPORATE DR
BEAVER DAM, WI 53916
Dodge County (920) 887-3102
AGNESIAN HEALTHCARE INC
Durable Medical Equipment & Medical Supplies
130 CORPORATE DR
BEAVER DAM, WI 53916
Dodge County (920) 887-3102
COLLEEN F CASSIDY MD
Family Medicine
130 CORPORATE DR
BEAVER DAM, WI 53916
Dodge County (920) 887-3102
CONSULTANTS LABORATORY OF WISCONSIN, LLC
Clinical Medical Laboratory
130 CORPORATE DR
BEAVER DAM, WI 53916
Dodge County (920) 926-5840
ERIN R LAMBERT DO
Family Medicine
130 CORPORATE DR
BEAVER DAM, WI 53916
Dodge County (920) 887-3102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dean Health Systems, Inc.'s NPI number?

The NPI number for Dean Health Systems, Inc. is 1013028893. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as Ssm Health Dean Medical Group - Beaver Dam.

Where is Dean Health Systems, Inc. located?

Dean Health Systems, Inc. is located at 130 Corporate Dr, Beaver Dam, WI 53916. The listed phone number is (920) 877-3102.

What is Dean Health Systems, Inc.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Dean Health Systems, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 52D0394045) is associated with this NPI, valid through June 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dean Health Systems, Inc. was last updated on February 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.