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SSM HEALTH DEAN MEDICAL GROUP - WATERLOO
NPI 1811931835
Durable Medical Equipment & Medical Supplies in Waterloo, WI

Active since June 16, 2006CLIA 52D0393240 · Waiver
105 HIGHLAND TER, WATERLOO, WI 53594(920) 478-2141(920) 478-3820 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ssm Health Dean Medical Group - Waterloo NPPES

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

SSM HEALTH DEAN MEDICAL GROUP - WATERLOO (NPI 1811931835) is a healthcare organization registered as a durable medical equipment & medical supplies in Waterloo, Wisconsin and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through December 26, 2026 and lists Amy J Grinnell, Vice President - Finance, as its authorized official.

NPPES Registry Identity

NPI1811931835
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameDEAN HEALTH SYSTEMS, INC.
Location Address105 HIGHLAND TERWaterloo, WI 53594-2217
Mailing Address105 Highland TerWaterloo, WI 53594-2217 · (920) 478-2141 · Fax (920) 478-3820
Phone(920) 478-2141
Fax(920) 478-3820
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 1811931835 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.
105 HIGHLAND TER, Waterloo, WI 53594
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Other Names 1

Doing Business AsSsm Health Dean Medical Group - Waterloo

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 52D0393240

Ssm Health Dean Medical Group - Waterloo · Waterloo, WI
Active · expires Dec 26, 2026
CLIA Number52D0393240
Laboratory TypePhysician Office
Certificate Effective DateDecember 27, 2024
Certificate Expiration DateDecember 26, 2026
Laboratory DirectorJeffrey J. Maxwell
Laboratory Phone(920) 478-2141
Laboratory LocationSsm Health Dean Medical Group - Waterloo105 Highland Ter, Waterloo, WI 53594
CLIA data matches this NPI record on: Address Name Phone
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.

HOLLY KEDDINGTON PA-C
Physician Assistant
105 HIGHLAND TER
WATERLOO, WI 53594
Jefferson County (920) 478-2141
F. BRADFORD MEYERS M.D.
Family Medicine
105 HIGHLAND TER
WATERLOO, WI 53594
Jefferson County (920) 478-2141
LAURA B SCHULTZ PA-C
Physician Assistant
105 HIGHLAND TER
WATERLOO, WI 53594
Jefferson County (920) 478-2141

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 1811931835. 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 - Waterloo.

Where is Dean Health Systems, Inc. located?

Dean Health Systems, Inc. is located at 105 Highland Ter, Waterloo, WI 53594. The listed phone number is (920) 478-2141.

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 52D0393240) is associated with this NPI, valid through December 26, 2026. 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.