NPIMap

Organization Active NPI

The Monroe Clinic, Inc.

Doing business as SSM Health Monroe Clinic Medical Group DME Freeport

  • Durable Medical Equipment & Medical Supplies
  • Freeport, IL
National Provider Identifier
1174688113
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
3771-042 Issued in WI
Legal business name
THE MONROE CLINIC, INC.
Doing business as
SSM Health Monroe Clinic Medical Group DME Freeport
Practice address
1301 Kiwanis Dr
Freeport, IL 61032-6907
Phone
(815) 235-1406
NPI assigned
Dec 27, 2006
Last updated
Jun 5, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
THE MONROE CLINIC, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Authorized official

Name
Mrs. Jane Curran-Mueli
Title
President
Phone
(608) 324-2990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 3771-042 WI Primary

Addresses

Primary practice location

1301 Kiwanis Dr
Freeport, IL 61032-6907

Mailing address

515 22ND Ave
Monroe, WI 53566-1569
Phone (608) 324-2770

Other names 1

  • SSM Health Monroe Clinic Medical Group DME Freeport Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Administar DME13 organizations share this tax ID, including this one
Part of
Administar DME

Other organizations with this tax ID 12

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1174688113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 22ND AVE",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535661569",
            "telephone_number": "608-324-2770",
            "fax_number": "608-324-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 KIWANIS DR",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610326907",
            "telephone_number": "815-235-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MONROE CLINIC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE MONROE CLINIC, INC",
        "enumeration_date": "2006-12-27",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "CURRAN-MUELI",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-324-2990",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WI",
            "license": "3771-042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSM Health Monroe Clinic Medical Group DME Freeport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Freeport, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.