ST. MARYS DEAN VENTURES INC.


Address: 1626 Tuttle St, Suite 1, Baraboo, WI 53913-1501
Phone: 6083562020

ST. MARYS DEAN VENTURES INC. (NPI# 1568494466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568494466
Entity Type Organization
Organization Name ST. MARYS DEAN VENTURES INC.
Other Organization Name DAVIS DUEHR DEAN REGIONAL EYE CLINICS
Practice Address 1626 Tuttle St
Suite 1
Baraboo
WI 53913-1501
Practice Telephone 6083562020
Practice Fax Number 6083566787
Mailing Telephone 6083562020
Mailing Fax Number 6083566787
Enumeration Date 2006-07-07
Last Update Date 2014-12-01
Authorized Official Name WILLIAM G RALL (VICE PRESIDENT - FINANCE)
Authorized Official Telephone 6082501194
Is Organization Subpart Y
Parent Organization Name ST. MARYS DEAN VENTURES INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QS0132X Clinic/Center
Specialization: Ophthalmologic Surgery
WI Ambulatory Health Care Facilities
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
WI Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WI 38611600 05
WI 38723700 05
WI 38720600 05
WI 38711700 05
WI 38715900 05
WI 38715600 05
WI 38718300 05
WI 38720000 05
WI 21257000 05
WI 38710800 05
WI 38714900 05
WI 38715000 05
WI 38715400 05
WI 38718200 05
WI 38719500 05

Other Provider/Organization Names

Other Name Type Code
Davis Duehr Dean Regional Eye Clinics Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1093751653 St. Marys Dean Ventures Inc. Eyewear Supplier (Equipment, not the service) 310 Parker St, Boscobel, WI 53805-1633 2006-06-21
1417993072 St. Marys Dean Ventures Inc. Eyewear Supplier (Equipment, not the service) 215b Church St, Montello, WI 53949-9763 2006-06-21
1083650642 St. Marys Dean Ventures Inc. Eyewear Supplier (Equipment, not the service) 144 W Garland St, Jefferson, WI 53549-2029 2006-06-21
1881639037 St. Marys Dean Ventures Inc. Durable Medical Equipment & Medical Supplies 148 Warren St, Ste A, Beaver Dam, WI 53916-3061 2006-06-19
1164467130 St. Marys Dean Ventures Inc. Durable Medical Equipment & Medical Supplies 612 W Brown St, Waupun, WI 53963-1702 2006-06-16
1467496570 St. Marys Dean Ventures Inc. Durable Medical Equipment & Medical Supplies 222 W Amelia St, Cassville, WI 53806-0012 2006-06-16
1376587337 St. Marys Dean Ventures Inc. Durable Medical Equipment & Medical Supplies 306 E Edgewater St, Cambria, WI 53923-8809 2006-06-16
1487698353 St. Marys Dean Ventures Inc. Durable Medical Equipment & Medical Supplies 207 E Skelly St, Cuba City, WI 53807-1453 2006-06-15
1710921838 St. Marys Dean Ventures Inc. Durable Medical Equipment & Medical Supplies 237 W Seward St, Poynette, WI 53955-9584 2006-06-16
1811944093 St. Marys Dean Ventures Inc. Clinic/Center 1700 Tuttle St, Baraboo, WI 53913-3319 2006-05-31

Office Location

Street Address 1626 TUTTLE ST
SUITE 1
City BARABOO
State WI
Zip Code 53913-1501

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104883933 Borys Kusyk Podiatrist 1626 Tuttle St, Baraboo, WI 53913 2006-04-26
1003372830 Violet Margaret Laukant Nurse Practitioner 1626 Tuttle St, Baraboo, WI 53913-1501 2019-02-18
1922527365 Blake R Ward Physician Assistant 1626 Tuttle St, Baraboo, WI 53913-1501 2017-09-18
1225472822 Andrew Livermore Orthopaedic Surgery 1626 Tuttle St, Baraboo, WI 53913-1501 2013-04-25
1881988244 Lisa Marie Peterson Optometrist 1626 Tuttle St, Suite 1, Baraboo, WI 53913-1501 2011-06-02
1609169192 Aaron M Carpiaux Orthopaedic Surgery 1626 Tuttle St, Baraboo, WI 53913-1501 2011-05-17
1104089911 Emily J Parker Optometrist 1626 Tuttle St, Suite 1, Baraboo, WI 53913 2008-07-02
1548270085 Dean Health Systems, Inc. Durable Medical Equipment & Medical Supplies 1626 Tuttle St, Baraboo, WI 53913-1501 2006-08-08
1578573036 Sara J Horras Physician Assistant 1626 Tuttle St, Baraboo, WI 53913-1501 2006-08-08
1710903828 Dean Health Systems, Inc. Prosthetic/Orthotic Supplier 1626 Tuttle St, Baraboo, WI 53913 2006-07-14
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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Competitor

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City BARABOO
Zip Code 53913

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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