Organization
MONTICELLO MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES R TRIBBETT MD (OWNER)
(574) 583-3333
Entity
Organization
Contact information
Practice address
826 N 6TH ST, MONTICELLO, IN 47960-1752
(574) 583-3333
(574) 583-4785
Mailing address
826 N 6TH ST, MONTICELLO, IN 47960-1752
(574) 583-3333
(574) 583-4785
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01050576A
IN
Other
Enumeration date
02/27/2006
Last updated
08/22/2020
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