| Tellurian, Inc. | |
|
300 Femrite Dr Monona WI 53716-3716 | |
| (608) 222-7311 | |
| (608) 222-5904 |
| 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 |
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