NPIMap

Organization Active NPI

The Monroe Clinic, Inc.

  • Health Service Clinic/Center
  • Monroe, WI
National Provider Identifier
1003148677
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
1128-39 Issued in WI
Legal business name
THE MONROE CLINIC, INC.
Practice address
515 22ND Avenue
Monroe, WI 53566-1569
Phone
(608) 324-2000
NPI assigned
Feb 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Brittney Margaret Hansen, LAT/ATC
Title
Athletic Trainer
Phone
(262) 224-2664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 1128-39 WI Primary

Addresses

Primary practice location

515 22ND Avenue
Monroe, WI 53566-1569

Mailing address

515 22ND Avenue
Monroe, WI 53566-1569

Other names 1

  • SSM Health Monroe Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Monroe Clinic DME13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1003148677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 22ND AVENUE",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535661569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 22ND AVENUE",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535661569",
            "telephone_number": "608-324-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MONROE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2022-03-16",
        "certification_date": "2022-02-21",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "BRITTNEY",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "ATHLETIC TRAINER",
        "authorized_official_telephone_number": "262-224-2664",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LAT/ATC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WI",
            "license": "1128-39",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSM Health Monroe Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SSM Health Monroe Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.