Active NPI
The Monroe Clinic, Inc.
Doing business as Monroe Clinic DME Blanchardville
- Durable Medical Equipment & Medical Supplies
- Blanchardville, WI
National Provider Identifier
1396800595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 3771-042
- Legal business name
- THE MONROE CLINIC, INC.
- Doing business as
- Monroe Clinic DME Blanchardville
SSM Health Monroe Clinic Medical Group DME Blanchardville - Practice address
- 309 S. Main St.
Blanchardville, WI 53516 - Phone
- (608) 523-4261
- NPI assigned
- Dec 27, 2006
- Organization subpart
- Yes
- Parent organization
- THE MONROE CLINIC, INC.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 3771-042 | WI | Primary |
Addresses
Primary practice location
309 S. Main St.
Blanchardville, WI 53516
Mailing address
515 22ND Ave
Monroe, WI 53566-1569
Phone (608) 324-2770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41669100 | Medicaid | WI |
Other names 2
- Monroe Clinic DME Blanchardville
- SSM Health Monroe Clinic Medical Group DME Blanchardville
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080422000708 | WI | Part B Supplier - Mass Immunization (Roster Biller Only) | 3072425495 |
4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Monroe, WI |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba SSM Health Monroe Medical Group
- Durable Medical Equipment & Medical Supplies
- Brodhead, WI
- NPI 1053476192
O20080422000708
-
dba SSM Health Monroe Clinic Medical Group DME Albany
- Durable Medical Equipment & Medical Supplies
- Albany, WI
- NPI 1144385345
O20080422000708
-
dba SSM Health Monroe Medical Group
- Durable Medical Equipment & Medical Supplies
- New Glarus, WI
- NPI 1225193360
O20080422000708
-
dba SSM Health Monroe Pharmacy
- Durable Medical Equipment & Medical Supplies
- Monroe, WI
- NPI 1760565253
O20080422000708
National Provider Directory
National Provider Directory- Part of
- Mary Schoenwetter CNP
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": "1645574400000",
"number": "1396800595",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 S. MAIN ST.",
"city": "BLANCHARDVILLE",
"state": "WI",
"postal_code": "53516",
"telephone_number": "608-523-4261"
}
],
"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": "2022-02-23",
"certification_date": "2022-02-23",
"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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41669100",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Monroe Clinic DME Blanchardville",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Monroe Clinic DME Blanchardville",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SSM Health Monroe Clinic Medical Group DME Blanchardville",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Blanchardville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.