BREAST CORE BIOPSY CENTER – NPI #1144392275
Clinic/Center

BREAST CORE BIOPSY CENTER is an AHC clinic located in MADISON, WI. NPPES has assigned the NPI number 1144392275 to BREAST CORE BIOPSY CENTER on November 14, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BREAST CORE BIOPSY CENTER” is a dba name, the actual legal business name for this organization is ST MARY'S DEAN VENTURES INC. The primary taxonomy selected by this provider is 261QR0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Radiology

The NPI profile was previously updated about 5 years ago on Oct 29, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BREAST CORE BIOPSY CENTER below.

NPI Profile for
ST MARY'S DEAN VENTURES INC

NPI Number
1144392275
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ST MARY'S DEAN VENTURES INC
Doing Business As (dba): BREAST CORE BIOPSY CENTER
Primary location
1313 FISH HATCHERY ROAD
MADISON, WI 53715
Phone: (608) 252-7445 Fax:
Mailing address
PO BOX 259317
1808 W BELTLINE HWY
MADISON, WI 53725-9317
Phone: (608) 250-1316 Fax: (608) 250-1034
Organization Subpart
No
Authorized Official
AMY GRINNELL
CHIEF FINANCIAL OFFICE
Phone: (608) 260-3586
Updated
Certification Date
Oct 29, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BREAST CORE BIOPSY CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERDEAN HEALTH PLANWI543668
MEDICAIDWI32837200
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR0200X
- Clinic/Center / Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.