WAUPUN CLINIC
NPI 1164467130
Durable Medical Equipment & Medical Supplies in Waupun, WI
- Organization
- Durable Medical Equipment & Medical Supp...
About WAUPUN CLINIC
This page provides the complete NPI Profile along with additional information for Waupun Clinic, a provider established in Waupun, Wisconsin operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1164467130 assigned on June 2006. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Waupun Clinic. The authorized official of this NPI record is Amy J Grinnall (Chief Financial Office)
- NPI
- 1164467130 Verify this NPI
- Provider Legal Name
- ST. MARYS DEAN VENTURES INC.
- Other Organization Name
- WAUPUN CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 612 W BROWN ST WAUPUN, WI 53963
- Location Phone
- (920) 324-5043
- Location Fax
- (920) 324-6768
- Mailing Address
- 612 W BROWN ST WAUPUN, WI 53963
- Mailing Phone
- (920) 324-5043
- Mailing Fax
- (920) 324-6768
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-16-2006
- Last Update Date
- 10-29-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- License State
- WI
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| N65 | OTHER (01) | WI | DEAN HEALTH INSURANCE |
| 137082535 | OTHER (01) | WI | OFFICE OF WORKERS COMP |
| 32824600 | MEDICAID (05) | WI |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164467130, enumerated as an "organization" on June 16, 2006.
The provider is located at 612 W BROWN ST WAUPUN, WI 53963 and the phone number is (920) 324-5043.
Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
