Organization Name: | ST. MARYS DEAN VENTURES, INC |
NPI Number: | 1326324005 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHEN M OLSON (PRESIDENT & CEO) |
Mailing Address: | 1511 Park Ave Columbus |
State: | WI US |
Postal Code: | 539252401 |
Phone Number: | 9206233012 |
Fax Number: | 9203560719 |
NPI Enumeration Date: | 10/26/2011 |
NPI Last Update Date: | 10/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | WI |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy 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 |