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SSM HEALTH DEAN MEDICAL GROUP - FORT ATKINSON
NPI 1144265133
Durable Medical Equipment & Medical Supplies in Fort Atkinson, WI

Active since June 17, 2006CLIA 52D0392760 · Certificate of Compliance
740 REENA AVE, FORT ATKINSON, WI 53538(920) 563-0888(920) 568-3516 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 - Fort Atkinson NPPES

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

SSM HEALTH DEAN MEDICAL GROUP - FORT ATKINSON (NPI 1144265133) is a healthcare organization registered as a durable medical equipment & medical supplies in Fort Atkinson, Wisconsin and active in the NPI registry since June 2006. The organization holds a CLIA Certificate of Compliance certificate valid through April 3, 2028 and lists Amy J Grinnell, Vice President-finance, as its authorized official.

NPPES Registry Identity

NPI1144265133
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameDEAN HEALTH SYSTEMS, INC.
Location Address740 REENA AVEFort Atkinson, WI 53538-3145
Mailing Address740 Reena AveFort Atkinson, WI 53538-3145 · (920) 563-0888 · Fax (920) 568-3516
Phone(920) 563-0888
Fax(920) 568-3516
Organization SubpartNo
Authorized OfficialAmy J GrinnellVice President-finance · (608) 260-3586
Enumeration DateJune 17, 2006
Last NPPES UpdateAugust 3, 2020
NPPES CertifiedAugust 3, 2020
✔ NPI 1144265133 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.
740 REENA AVE, Fort Atkinson, WI 53538
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Other Names 1

Doing Business AsSsm Health Dean Medical Group - Fort Atkinson

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 52D0392760

Ssm Health Dean Medical Group - Fort Atkinson · Fort Atkinson, WI
Active · expires Apr 3, 2028
CLIA Number52D0392760
Laboratory TypePhysician Office
Certificate Effective DateApril 4, 2026
Certificate Expiration DateApril 3, 2028
Laboratory DirectorMs. Janie M. Carroll
Laboratory Phone(920) 563-0888
Laboratory LocationSsm Health Dean Medical Group - Fort Atkinson740 Reena Ave, Fort Atkinson, WI 53538
CLIA data matches this NPI record on: Address Name Phone
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 13

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

STEPHEN C RIGGS MD
Family Medicine
740 REENA AVE
FORT ATKINSON, WI 53538
Jefferson County (920) 563-0888
MADDISON BANACH
Physical Therapist
740 REENA AVE
FORT ATKINSON, WI 53538
Jefferson County (920) 563-0888
JEFFERY F KNEIERT OD
Optometrist
740 REENA AVE, SUITE B
FORT ATKINSON, WI 53538
Jefferson County (920) 563-8468
BARRY P CASH MD
Family Medicine
740 REENA AVE
FORT ATKINSON, WI 53538
Jefferson County (920) 563-0888
COLLEEN S HEBERT O.D.
Optometrist
740 REENA AVE, SUITE B
FORT ATKINSON, WI 53538
Jefferson County (920) 563-8468
DR. JACOB EDWARD TABER DO
Family Medicine
740 REENA AVE
FORT ATKINSON, WI 53538
Jefferson County (920) 563-0888
DR. ALYCE ANASTASIA HOFMANN O.D.
Optometrist
740 REENA AVE, SUITE B
FORT ATKINSON, WI 53538
Jefferson County (920) 563-8468
SARAH M WANKOWSKI PT, DPT
Physical Therapist
740 REENA AVE
FORT ATKINSON, WI 53538
Jefferson County (608) 371-8775

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 1144265133. It was assigned to this organization in the NPPES registry on June 17, 2006. The provider is doing business as Ssm Health Dean Medical Group - Fort Atkinson.

Where is Dean Health Systems, Inc. located?

Dean Health Systems, Inc. is located at 740 Reena Ave, Fort Atkinson, WI 53538. The listed phone number is (920) 563-0888.

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 52D0392760) is associated with this NPI, valid through April 3, 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.