SSM HEALTH DEAN MEDICAL GROUP SPECIALTY SERVICES - COLUMBUS
NPI 1083622278
Durable Medical Equipment & Medical Supplies in Columbus, WI

Active since August 03, 2006CLIA 52D0997714 · Certificate of Compliance
1513 PARK AVE, 2ND FLOOR, COLUMBUS, WI 53925(920) 623-9535(920) 623-6330 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 Specialty Services - Columbus NPPES

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

SSM HEALTH DEAN MEDICAL GROUP SPECIALTY SERVICES - COLUMBUS (NPI 1083622278) is a healthcare organization registered as a durable medical equipment & medical supplies in Columbus, Wisconsin and active in the NPI registry since August 2006. The organization holds a CLIA Certificate of Compliance certificate valid through June 24, 2028 and lists Amy J Grinnell, Vice President-finance, as its authorized official.

NPPES Registry Identity

NPI1083622278
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameDEAN HEALTH SYSTEMS, INC.
Location Address1513 PARK AVE, 2ND FLOORColumbus, WI 53925-1793
Mailing Address1513 Park Ave, 2nd FloorColumbus, WI 53925-1793 · (920) 623-9535 · Fax (920) 623-6330
Fax(920) 623-6330
Organization SubpartNo
Authorized OfficialAmy J GrinnellVice President-finance · (608) 260-3586
Enumeration DateAugust 3, 2006
Last NPPES UpdateAugust 3, 2020
NPPES CertifiedAugust 3, 2020
NPI 1083622278 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.
1513 PARK AVE, Columbus, WI 53925

Other Names 1

Doing Business AsSsm Health Dean Medical Group Specialty Services - Columbus

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 Compliance 52D0997714

Ssm Health Dean Medical Group - Columbus · Columbus, WI
Active · expires Jun 24, 2028
CLIA Number52D0997714
Laboratory TypePhysician Office
Certificate Effective DateJune 25, 2026
Certificate Expiration DateJune 24, 2028
Laboratory DirectorJeffrey J. Maxwell
Laboratory Phone(608) 356-1492
Laboratory LocationSsm Health Dean Medical Group - Columbus1513 Park Ave, Columbus, WI 53925
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 4

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

Physician Assistant
1513 PARK AVE
COLUMBUS, WI 53925
Family Medicine
1513 PARK AVE, 1ST FLOOR
COLUMBUS, WI 53925
Family Medicine
1513 PARK AVE, 1ST FLOOR
COLUMBUS, WI 53925
Durable Medical Equipment & Medical Supplies
1513 PARK AVE
COLUMBUS, WI 53925

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 1083622278. It was assigned to this organization in the NPPES registry on August 3, 2006. The provider is doing business as Ssm Health Dean Medical Group Specialty Services - Columbus.

Where is Dean Health Systems, Inc. located?

Dean Health Systems, Inc. is located at 1513 Park Ave 2nd Floor, Columbus, WI 53925. The listed phone number is (920) 623-9535.

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 52D0997714) is associated with this NPI, valid through June 24, 2028. 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.