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
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