SSM HEALTH DEAN MEDICAL GROUP - EVANSVILLE
NPI 1619911633
Durable Medical Equipment & Medical Supplies in Evansville, WI

Active since June 16, 2006CLIA 52D0663335 · Waiver
10 N WATER ST, EVANSVILLE, WI 53536(608) 882-5170(608) 882-6532 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ssm Health Dean Medical Group - Evansville NPPES

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

SSM HEALTH DEAN MEDICAL GROUP - EVANSVILLE (NPI 1619911633) is a healthcare organization registered as a durable medical equipment & medical supplies in Evansville, Wisconsin and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through April 6, 2028 and lists Amy J Grinnell, Vice President - Finance, as its authorized official.

NPPES Registry Identity

NPI1619911633
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameDEAN HEALTH SYSTEMS, INC.
Location Address10 N WATER STEvansville, WI 53536-1152
Mailing Address10 N Water StEvansville, WI 53536-1152 · (608) 882-5170 · Fax (608) 882-6532
Fax(608) 882-6532
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 1619911633 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.

10 N WATER ST, Evansville, WI 53536

Other Names 1

Doing Business AsSsm Health Dean Medical Group - Evansville

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 52D0663335

Ssm Health Dean Medical Group - Evansville · Evansville, WI
Active · expires Apr 6, 2028
CLIA Number52D0663335
Laboratory TypePhysician Office
Certificate Effective DateApril 7, 2026
Certificate Expiration DateApril 6, 2028
Laboratory DirectorMs. Janie M. Carroll
Laboratory Phone(608) 371-8379
Laboratory LocationSsm Health Dean Medical Group - Evansville10 N Water St, Evansville, WI 53536
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Family)
10 N WATER ST
EVANSVILLE, WI 53536
Physician Assistant
10 N WATER ST
EVANSVILLE, WI 53536
Family Medicine
10 N WATER ST
EVANSVILLE, WI 53536

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 1619911633. 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 - Evansville.

Where is Dean Health Systems, Inc. located?

Dean Health Systems, Inc. is located at 10 N Water St, Evansville, WI 53536. The listed phone number is (608) 882-5170.

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 52D0663335) is associated with this NPI, valid through April 6, 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 with the weekly NPPES data releases published by CMS.