The Monroe Medical Foundation for Research and Education, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

THE MONROE MEDICAL FOUNDATION FOR RESEARCH AND EDUCATION, INC

Practice address

411 22ND Ave
Monroe, WI 53566-1576

Phone

(608) 324-2670

Fax

(608) 324-2363

NPI assigned

Jan 15, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Patricia L Berra, CCRC

Title

Executive Director

Phone

(608) 324-2290

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1447436829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 22ND AVE",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535661576",
            "telephone_number": "608-324-2670",
            "fax_number": "608-324-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 22ND AVE",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535661576",
            "telephone_number": "608-324-2670",
            "fax_number": "608-324-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MONROE MEDICAL FOUNDATION FOR RESEARCH AND EDUCATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BERRA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "608-324-2290",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CCRC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTH PLAN",
            "identifier": "562979",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Monroe Clinic, Inc. (SSM Health Monroe Clinic Medical Group)
• The Monroe Clinic, Inc. (SSM Health Monroe Hospital)
• The Monroe Clinic, Inc. (SSM Health Monroe Pharmacy)
• The Monroe Clinic, Inc. (SSM Health Monroe Clinic Nursing Home Phcy)
• The Monroe Clinic, Inc.
• Kelly Thomas
• Kim C Thome-Hough, NP
• Angelica G Thompson, N.P.
• Mark J Thompson, MD
• Thomas J Thompson, D.C.

• Clinic/Center in Monroe, WI
• Providers in Monroe, WI by specialty
• Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.