Full Name | Tellurian, Inc. |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 300 Femrite Dr, Monona, Wisconsin |
Authorized Official Name and Position | Kelly E Crooks (QUALITY ASSURANCE MANAGER) |
Authorized Official Contact | 6086632120 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tellurian, Inc. 300 Femrite Dr Monona WI 53716-3716 Ph: (608) 222-7311 | Tellurian, Inc. 300 Femrite Dr Monona WI 53716-3716 Ph: (608) 222-7311 |
NPI Number | 1235302480 |
---|---|
Provider Enumeration Date | 04/09/2008 |
Last Update Date | 08/15/2022 |
Certification Date | 01/05/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235302480 | NPI | - | NPPES |
39394400 | Medicaid | WI |
News Archive
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› Verified 5 days ago
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