MEDICARE: MILWAUKEE HEALTH SERVICES SYSTEM, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM2800X	Methadone Clinic
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194992404
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILWAUKEE HEALTH SERVICES SYSTEM, LLC

Provider Business Mailing Address
First Line	:	PO BOX 682669
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37068-2669
Country	:	US
Telephone Number	:	615-861-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	5109 WORLD DAIRY DR
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53718-3807
Country	:	US
Telephone Number	:	608-242-0220
Fax Number	:	608-242-1166

Authorized Official
Title or Position	:	VP & SECRETARY
Name	:	BRIAN PHILLIP FARLEY
Credential	:
Telephone Number	:	615-861-6000

Provider Enumeration Date	:	05/15/2008
Last Update Date	:	04/08/2026

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