SSM HEALTH DEAN MEDICAL GROUP - WHITEWATER
NPI 1962447953
Durable Medical Equipment & Medical Supplies in Whitewater, WI
- Organization
- Durable Medical Equipment & Medical Supp...
- CLIA Number: 52D0389929
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-25-2027
About SSM HEALTH DEAN MEDICAL GROUP - WHITEWATER
This page provides the complete NPI Profile along with additional information for Ssm Health Dean Medical Group - Whitewater, a provider established in Whitewater, Wisconsin operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1962447953 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 6 years ago. The provider's is doing business as Ssm Health Dean Medical Group - Whitewater. The authorized official of this NPI record is Amy J Grinnell (Vice President - Finance)
- NPI
- 1962447953 Verify this NPI
- Provider Legal Name
- DEAN HEALTH SYSTEMS, INC.
- Other Organization Name
- SSM HEALTH DEAN MEDICAL GROUP - WHITEWATER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1305 W MAIN ST WHITEWATER, WI 53190
- Location Phone
- (262) 473-4548
- Location Fax
- (262) 472-7691
- Mailing Address
- 1305 W MAIN ST WHITEWATER, WI 53190
- Mailing Phone
- (262) 473-4548
- Mailing Fax
- (262) 472-7691
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-17-2006
- Last Update Date
- 08-03-2020
- 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 |
|---|---|---|---|
| 1053358846 | MEDICAID (05) | WI |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D0389929
- Facility Type
- Physician Office
- Certificate Effective Date
- April 26, 2025
- Certificate Expiration Date
- April 25, 2027
- Laboratory Director
- JANIE CARROLL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Ssm Health Dean Medical Group - Whitewater to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for SSM HEALTH DEAN MEDICAL GROUP - WHITEWATER
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Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962447953, enumerated as an "organization" on June 17, 2006.
The provider is located at 1305 W MAIN ST WHITEWATER, WI 53190 and the phone number is (262) 473-4548.
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.
