MEDICARE: CITY OF MONONA

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	146M00000X	Intermediate Emergency Medical Technician	6001194	WI
2	3416L0300X	Land Ambulance

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	590002965	OTHER	WI	RAILROAD MEDICARE

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
3	247688	OTHER	WI	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1801882691
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF MONONA

Provider Business Mailing Address
First Line	:	5211 SCHLUTER RD
Second Line	:
City	:	MONONA
State	:	WI
Zip	:	53716-2533
Country	:	US
Telephone Number	:	608-222-2525
Fax Number	:	608-222-9225

Provider Business Practice Location Address
First Line	:	5211 SCHLUTER RD
Second Line	:
City	:	MONONA
State	:	WI
Zip	:	53716-2533
Country	:	US
Telephone Number	:	608-222-2525
Fax Number	:	608-222-9225

Authorized Official
Title or Position	:	FIRE AND EMS CHIEF
Name	:	JEREMY MCMULLEN
Credential	:	NRP
Telephone Number	:	608-216-7442

Provider Enumeration Date	:	09/27/2005
Last Update Date	:	12/14/2020

Similar Medicare Providers

1619157161 — DR. MICHAEL HEALY MCDONALD M.D.
Practice Location Address:

6408 COPPS AVE
MONONA, WI
53716-3702

Practice Phone: 608-417-3000
Practice Fax:

1508708819 — GRACE MEWHIRTER DC
Practice Location Address:

6000 MONONA DR STE 201
MONONA, WI
53716-3329

Practice Phone: 608-221-1597
Practice Fax:

1013858828 — ROYAL & INFINITE HEALING
Practice Location Address:

112 OWEN RD UNIT 6071
MONONA, WI
53716-5003

Practice Phone: 608-581-0054
Practice Fax:

1942202379 — DR. JENNIFER MARIE GEORGE PHARM.D,
Practice Location Address:

6408 COPPS AVENUE
MONONA, WI
53716

Practice Phone: 608-417-7115
Practice Fax: 608-417-3001

1184617730 — JAYME R JERMIER PT
Practice Location Address:

4100 MONONA DR , MONONA REHABILITATION SERVICES INC
MADISON, WI
53716-1674

Practice Phone: 608-222-2325
Practice Fax: 608-222-3823

1073506622 — MONONA REHABILITATION SERVICES INC
Practice Location Address:

4100 MONONA DR , MONONA REHABILITATION SERVICES
MADISON, WI
53716-1674

Practice Phone: 608-222-2325
Practice Fax: 608-222-3823

Directions to “CITY OF MONONA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.