Organization
MONROE MEDICAL FOUNDATION, INC.
Active
Other names
Monroe County Medical Center Medical Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA L RICH-MCLERRAN (C.E.O.)
(270) 487-9231
Entity
Organization
Contact information
Practice address
604 N MAIN ST, TOMPKINSVILLE, KY 42167-1128
(270) 487-9231
(270) 487-5784
Mailing address
604 N MAIN ST, TOMPKINSVILLE, KY 42167-1128
(270) 487-9231
(270) 487-5784
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3954
GROUP
KY
05
—
6592847500
—
KY
Enumeration date
02/25/2009
Last updated
03/23/2022
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