TELLURIAN INC. NPI 1235302480

NPI Information

NPI: 1235302480
Provider Name: TELLURIAN, INC.
Classification: Clinic/Center - 261QM0801X
Specialization: Mental Health (Including Community Mental Health Center)
Entity Type: Organization
Former Legal Business Name: TELLURIAN UCAN INC.
Address: 300 FEMRITE DR
MONONA, WI
ZIP 53716
Phone: (608) 222-7311

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NPI Details

TELLURIAN, INC. is a mental health (including community mental health center) clinic center in Monona, WI. TELLURIAN, INC. NPI is 1235302480. 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:

300 FEMRITE DR
MONONA, WI
ZIP 53716-716
Phone: (608) 222-7311
Fax: (608) 222-5904

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 4/9/2008 and was last updated on 8/15/2022.

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	251S00000X	Community/Behavioral Health		774	WISCONSIN	No
2	261QM0801X	Clinic/Center	Mental 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
1	39394400	MEDICAID	WISCONSIN

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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