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Organization
MONROE COUNTY HEALTH CARE AUTHORITY
Active
Organization
MONROE COUNTY HEALTH CARE AUTHORITY
Active
Other names
MCH Monroeville Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY S JOHNSON (PFS MANAGER)
(251) 743-7485
Entity
Organization
Contact information
Practice address
16 MEDICAL CENTER DR, MONROEVILLE, AL 36460
(251) 575-3266
(251) 575-3262
Mailing address
PO BOX 886, MONROEVILLE, AL 36461-0886
(251) 743-7485
(251) 743-7445
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363LA2100X
Acute Care Nurse Practitioner
—
NULL
363LA2100X
Acute Care Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
NULL
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
11/04/2015
Last updated
07/10/2018
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