MILWAUKEE HEALTH SERVICES SYSTEM, LLC


Address: 5109 World Dairy Dr., Madison, WI 53718-3807
Phone: 6082420220

MILWAUKEE HEALTH SERVICES SYSTEM, LLC (NPI# 1801947965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801947965
Entity Type Organization
Organization Name MILWAUKEE HEALTH SERVICES SYSTEM, LLC
Other Organization Name MADISON EAST COMPREHENSIVE TREATMENT CENTER
Practice Address 5109 World Dairy Dr.
Madison
WI 53718-3807
Mailing Address 6185 Paseo Del Norte
Ste 150
Carlsbad
CA 92011
Practice Telephone 6082420220
Practice Fax Number 6082421166
Mailing Telephone 8552592288
Mailing Fax Number 7609308923
Enumeration Date 2007-01-16
Last Update Date 2016-04-27
Authorized Official Name MR. JOHN PELOQUIN (PRESIDENT, CTC DIVISION)
Authorized Official Telephone 7607100951
Authorized Official Credential PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
#1549 WI Ambulatory Health Care Facilities
Y 261QM2800X Clinic/Center
Specialization: Methadone Clinic
#1549 WI Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WI 42030300 05

Other Provider/Organization Names

Other Name Type Code
Madison East Comprehensive Treatment Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1881942845 Milwaukee Health Services System, LLC Clinic/Center 210 Washington Street, Wausau, WI 54403-5475 2012-08-24
1194992404 Milwaukee Health Services System, LLC Clinic/Center 5109 World Dairy Dr, Madison, WI 53718-3807 2008-05-15
1780850594 Milwaukee Health Services System, LLC Clinic/Center 3707 N Richards St, Milwaukee, WI 53212-1673 2008-05-01
1174798524 Milwaukee Health Services System, LLC Clinic/Center 4800 S 10th St Unit 1, Milwaukee, WI 53221-2412 2008-04-28
1649326737 Milwaukee Health Services System, LLC Clinic/Center 3707 N. Richards Street, Milwaukee, WI 53212-1673 2007-01-25
1790837128 Milwaukee Health Services System, LLC Psychiatry & Neurology 4800 S. 10th Street, Milwaukee, WI 53221-2412 2007-01-17
1467503193 Milwaukee Health Services System, LLC Counselor 3301 N. Ballard Road, Ste. B, Appleton, WI 54911-8928 2007-01-16
1336247139 Milwaukee Health Services System, LLC Clinic/Center 210 Washington St., Wausau, WI 54403-5475 2006-09-20
1457815789 Milwaukee Health Services System, LLC Clinical Medical Laboratory 4800 S. 10th Street, Milwaukee, WI 53221-2412 2019-01-31
1144684697 Milwaukee Health Services System, LLC Counselor 3440 Oakwood Hills Pkwy, Eau Claire, WI 54701-7698 2016-04-11

Office Location

Street Address 5109 WORLD DAIRY DR.
City MADISON
State WI
Zip Code 53718-3807

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477605335 Madison Health Services Clinic/Center 5109 World Dairy Dr., Madison, WI 53718 2007-01-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609475607 Suchart Thammahong Pharmacist 734 Mclean Drive, Madison, Wi, WI 53718 2020-10-21
1780033431 Elizabeth C Armstrong Registered Nurse 2810 Crossroads Dr Ste 4000, Madison, WI 53718 2016-06-03
1811356926 Quirt Family Dentistry, Sc Dentist 6038 Gemini Drive, Madison, WI 53718 2016-02-17
1831583145 Madison Rehabilitation Hospital, LLC Rehabilitation Hospital 5115 N Biltmore Ln, Madison, WI 53718 2015-03-25
1972919959 Hannah E Kussler Physician Assistant The American Center, 4602 Eastpark Blvd, Madison, WI 53718 2014-07-10
1104187079 Kaitlin Hellenbrand Occupational Therapist 5249 East Terrace Drive, Madison, WI 53718 2012-06-06
1003172800 Wisconsin Hyperbaric Oxygen LLC Clinic/Center 4660 S Biltmore Lane, Madison, WI 53718 2012-04-05
1801022850 Justin Robert Bangert Marriage & Family Therapist 5310 Wall St., Ste #500, Madison, WI 53718 2009-06-04
1427292275 Jane Louise Stroede Physical Therapy Assistant 2802 Walton Commons West, Madison, WI 53718 2009-04-23
1003060658 Candace Leigh Pantoga Occupational Therapist 3030 City View Drive, City View Nursing Home, Madison, WI 53718 2008-11-10
Find all providers in zip 53718

Taxonomy Information

Taxonomy Code 261QM2800X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Methadone Clinic

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265922660 Addiction Services and Pharmacotherapy, Sc Clinic/Center 210 E Olin Ave, Madison, WI 53713-1434 2018-05-11
1194992404 Milwaukee Health Services System, LLC Clinic/Center 5109 World Dairy Dr, Madison, WI 53718-3807 2008-05-15
1881131761 Psychological Addiction Services LLC Clinic/Center 3113 E Washington Ave, Madison, WI 53704-4330 2017-01-30
1477605335 Madison Health Services Clinic/Center 5109 World Dairy Dr., Madison, WI 53718 2007-01-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356951321 Premier Care of Wisconsin, LLC. Clinic/Center 1333 College Ave Ste M1, South Milwaukee, WI 53172-1150 2020-08-05
1013572353 Addiction Services and Pharmacotherapy, Sc Clinic/Center 11390 W Theo Trekr Way, West Allis, WI 53214-1135 2019-05-02
1740767292 Ansa Treatment Center Inc Clinic/Center 4111 N Port Washington Rd Ste 101a, Milwaukee, WI 53212-1029 2018-07-26
1003150004 Ams of Wisconsin, LLC Clinic/Center 9532 E 16 Frontage Rd, Suite 100, Onalaska, WI 54650-6739 2012-11-15
1780850594 Milwaukee Health Services System, LLC Clinic/Center 3707 N Richards St, Milwaukee, WI 53212-1673 2008-05-01
1174798524 Milwaukee Health Services System, LLC Clinic/Center 4800 S 10th St Unit 1, Milwaukee, WI 53221-2412 2008-04-28
1093912768 C.o.r.e.,llc Clinic/Center 4555 W Schroeder Dr Ste 185, Brown Deer, WI 53223-1494 2007-06-27
1336247139 Milwaukee Health Services System, LLC Clinic/Center 210 Washington St., Wausau, WI 54403-5475 2006-09-20
1326423534 Tereo Narcotic Treatment Center, LLC Clinic/Center 2405 Northwestern Ave, Suite Lower Level, Racine, WI 53404-2534 2015-07-29
1972980217 Milwaukee Health Services Clinic/Center 3707 N Richards St, Milwaukee, WI 53212-1673 2015-05-06
Find all providers with the same taxonomy

Competitor

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City MADISON
Zip Code 53718

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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