Organization
MONROE MEDICAL FOUNDATION, INC.
Active
Organization
MONROE MEDICAL FOUNDATION, INC.
Active
Other names
Monroe County Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKY MCFALL (CHIEF EXECUTIVE OFFICER)
(270) 487-9231
Entity
Organization
Contact information
Practice address
529 CAPP HARLAN RD, TOMPKINSVILLE, KY 42167-1808
(270) 487-9231
(270) 487-5784
Mailing address
529 CAPP HARLAN RD, TOMPKINSVILLE, KY 42167-1808
(270) 487-9231
(270) 487-5784
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111353
BLUE CROSS
—
01
—
216826
BLUE CROSS
—
01
—
216827
BLUE CROSS
—
Enumeration date
05/24/2007
Last updated
01/28/2009
Update your record
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