NPIMap

Organization Active NPI

Tellurian, Inc.

  • Substance Abuse Rehabilitation Facility
  • Monona, WI
National Provider Identifier
1558638494
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
TELLURIAN, INC.
Practice address
300 Femrite Dr
Monona, WI 53716-3716
Phone
(608) 222-7311
Fax
(608) 222-0453
NPI assigned
Nov 21, 2011
Last updated
Aug 15, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
TELLURIAN, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Authorized official

Name
Miss Erica Mueller
Title
Quality Assurance Manager
Phone
(608) 204-8547

Specialties & licenses 1

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

Addresses

Primary practice location

300 Femrite Dr
Monona, WI 53716-3716

Mailing address

300 Femrite Dr
Monona, WI 53716-3716
Phone (608) 222-7311

Other names 2

  • Tellurian UCAN, Inc Former legal business name
  • Tellurian Adult Residential Program 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.

NPI Registry JSON

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1558638494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FEMRITE DR",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537163716",
            "telephone_number": "608-222-7311",
            "fax_number": "608-222-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FEMRITE DR",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537163716",
            "telephone_number": "608-222-7311",
            "fax_number": "608-222-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELLURIAN, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TELLURIAN, INC.",
        "enumeration_date": "2011-11-21",
        "last_updated": "2022-08-15",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "MUELLER",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "QUALITY ASSURANCE MANAGER",
        "authorized_official_telephone_number": "608-204-8547",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tellurian UCAN, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Tellurian Adult Residential Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Monona, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.