MILWAUKEE HEALTH SERVICES SYSTEM LLC NPI 1194992404

NPI Information

  • NPI: 1194992404
  • Provider Name: MILWAUKEE HEALTH SERVICES SYSTEM, LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • :
  • CLIA Number: 52D2305017
  • Address: 5109 WORLD DAIRY DR
    MADISON, WI
    ZIP 53718
  • Phone: (608) 242-0220

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NPI Details

MILWAUKEE HEALTH SERVICES SYSTEM, LLC is a mental health (including community mental health center) clinic center in Madison, WI. MILWAUKEE HEALTH SERVICES SYSTEM, LLC NPI is 1194992404. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

5109 WORLD DAIRY DR
MADISON, WI
ZIP 53718-807
Phone: (608) 242-0220
Fax: (608) 242-1166

The provider's authorized official is Brian Phillip Farley .
The authorized official title is Vp & Secretary and has the following contact phone number (615) 861-6000.

The CLIA number assigned to this NPI record is 52D2305017 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/15/2008 and was last updated on 10/15/2025.

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
1261QM2800XClinic/CenterMethadoneNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
142225600MEDICAIDWISCONSIN

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: 11/21/2025

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