TELLURIAN INC. NPI 1437401338

NPI Information

NPI: 1437401338
Provider Name: TELLURIAN, INC.

Former Legal Business Name: TELLURIAN UCAN, INC.

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
4647 MORMON COULEE RD
LA CROSSE, WI
ZIP 54601
Phone: (608) 519-3080
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TELLURIAN, INC. is a community based residential treatment facility mental illness in La Crosse, WI. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. TELLURIAN, INC. NPI is 1437401338. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Tellurian Ucan, Inc..

The provider's business location address is:

4647 MORMON COULEE RD
LA CROSSE, WI
ZIP 54601-225
Phone: (608) 519-3080
Fax: (608) 519-3083

The provider's authorized official is Kelly E Crooks .
The authorized official title is Quality Assurance Manager and has the following contact phone number (608) 663-2120.

The enumeration date for this NPI number is 10/3/2012 and was last updated on 5/6/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness		0013220	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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