NPIMap

Organization Active NPI

Tellurian, Inc.

  • Substance Abuse Rehabilitation Facility
  • Madison, WI
National Provider Identifier
1013261486
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
1904 Issued in WI
Legal business name
TELLURIAN, INC.
Practice address
2914 Industrial Dr
Madison, WI 53713-4047
Phone
(608) 223-3311
Fax
(608) 223-3304
NPI assigned
Nov 6, 2012
Last updated
May 3, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
TELLURIAN, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Authorized official

Name
Erica Mueller
Title
Qa Manager
Phone
(608) 204-8547

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 1904 WI Primary
Substance Abuse Rehabilitation Facility 324500000X NU

Addresses

Primary practice location

2914 Industrial Dr
Madison, WI 53713-4047

Mailing address

5900 Monona Dr Ste 300
Monona, WI 53716-3561
Phone (608) 204-8547

Other names 2

  • Tellurian, UCAN, Inc. Former legal business name
  • Tellurian Detoxification Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Tellurian Inc10 organizations share this tax ID, including this one
Part of
Tellurian Inc

Other organizations with this tax ID 9

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

Locations

2914 Industrial Dr
Madison, WI 53713
Phone (608) 223-3311

NPI Registry JSON

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1013261486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 MONONA DR STE 300",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537163561",
            "telephone_number": "608-204-8547",
            "fax_number": "608-223-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2914 INDUSTRIAL DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537134047",
            "telephone_number": "608-223-3311",
            "fax_number": "608-223-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELLURIAN, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TELLURIAN, INC.",
        "enumeration_date": "2012-11-06",
        "last_updated": "2024-05-03",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "MUELLER",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "QA MANAGER",
        "authorized_official_telephone_number": "608-204-8547"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "WI",
            "license": "1904",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tellurian, UCAN, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Tellurian Detoxification Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.