| Miramont Behavioral Health | |
|
3169 Deming Way Middleton WI 53562-1435 | |
| (901) 969-3100 | |
| Not Available |
| Full Name | Miramont Behavioral Health |
|---|---|
| Speciality | Psychiatric Hospital |
| Location | 3169 Deming Way, Middleton, Wisconsin |
| Authorized Official Name and Position | Paul Gilbert (CHIEF LEGAL OFFICER) |
| Authorized Official Contact | 6157164924 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miramont Behavioral Health 8295 Tournament Dr Ste 201 Memphis TN 38125-8913 Ph: (901) 969-3100 | Miramont Behavioral Health 3169 Deming Way Middleton WI 53562-1435 Ph: (901) 969-3100 |
| NPI Number | 1003413816 |
|---|---|
| Provider Enumeration Date | 10/05/2020 |
| Last Update Date | 08/07/2024 |
| Certification Date | 08/07/2024 |
| Medicare PECOS PAC ID | 7113327834 |
|---|---|
| Medicare Enrollment ID | O20210616002445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003413816 | NPI | - | NPPES |
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