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SSM HEALTH DEAN MEDICAL GROUP - EDGERTON
NPI 1073558045
Durable Medical Equipment & Medical Supplies in Edgerton, WI

Active since June 16, 2006CLIA 52D0895605 · Waiver
11051 N SHERMAN RD, EDGERTON, WI 53534(608) 884-3354(608) 884-5022 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ssm Health Dean Medical Group - Edgerton NPPES

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

SSM HEALTH DEAN MEDICAL GROUP - EDGERTON (NPI 1073558045) is a healthcare organization registered as a durable medical equipment & medical supplies in Edgerton, Wisconsin and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through February 6, 2027 and lists Amy J Grinnell, Vice President - Finance, as its authorized official.

NPPES Registry Identity

NPI1073558045
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameDEAN HEALTH SYSTEMS, INC.
Location Address11051 N SHERMAN RDEdgerton, WI 53534-9002
Mailing Address11051 N Sherman RdEdgerton, WI 53534-9002 · (608) 884-3354 · Fax (608) 884-5022
Phone(608) 884-3354
Fax(608) 884-5022
Organization SubpartNo
Authorized OfficialAmy J GrinnellVice President - Finance · (608) 260-3586
Enumeration DateJune 16, 2006
Last NPPES UpdateAugust 3, 2020
NPPES CertifiedAugust 3, 2020
✔ NPI 1073558045 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.
11051 N SHERMAN RD, Edgerton, WI 53534
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Other Names 1

Doing Business AsSsm Health Dean Medical Group - Edgerton

Other Identifiers 1

Medicaid1053358846WI

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 Waiver 52D0895605

Ssm Health Dean Medical Group - Edgerton · Edgerton, WI
Active · expires Feb 6, 2027
CLIA Number52D0895605
Laboratory TypePhysician Office
Certificate Effective DateFebruary 7, 2025
Certificate Expiration DateFebruary 6, 2027
Laboratory DirectorOlivia Brittan
Laboratory Phone(608) 258-6169
Laboratory LocationSsm Health Dean Medical Group - Edgerton75 West Fulton Street, Edgerton, WI 53534
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

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

DR. NASRA MOHAMED WARSAME M.D.
Family Medicine
11051 N SHERMAN RD
EDGERTON, WI 53534
Rock County (608) 884-3354
DIANE M KEEHN PA-C
Physician Assistant
11051 N SHERMAN RD
EDGERTON, WI 53534
Rock County (608) 884-3354
EDGERTON HOSPITAL AND HEALTH SERVICES
Surgery
11051 N SHERMAN RD
EDGERTON, WI 53534
Rock County (608) 884-3441
DAVID P GORSKI PA-C
Physician Assistant
11051 N SHERMAN RD
EDGERTON, WI 53534
Rock County (608) 884-3354
SANDRA K MATZKE APNP
Nurse Practitioner (Family)
11051 N SHERMAN RD
EDGERTON, WI 53534
Rock County (608) 884-3354
MRS. JENNIFER L LANGE APNP
Nurse Practitioner
11051 N SHERMAN RD
EDGERTON, WI 53534
Rock County (608) 884-3354
DEAN HEALTH SYSTEMS, INC.
Preventive Medicine (Occupational Medicine)
11051 N SHERMAN RD
EDGERTON, WI 53534
Rock County (608) 884-3354
KENNETH R BETTS MD
Family Medicine
11051 N SHERMAN RD
EDGERTON, WI 53534
Rock County (608) 884-3354

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 1073558045. It was assigned to this organization in the NPPES registry on June 16, 2006. The provider is doing business as Ssm Health Dean Medical Group - Edgerton.

Where is Dean Health Systems, Inc. located?

Dean Health Systems, Inc. is located at 11051 N Sherman Rd, Edgerton, WI 53534. The listed phone number is (608) 884-3354.

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 Waiver (number 52D0895605) is associated with this NPI, valid through February 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 August 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.