Organization
MONROE MEDICAL FOUNDATION, INC.
Active
Other names
Monroe County Medical Center Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKY MCFALL (CHIEF EXECUTIVE OFFICER)
(270) 487-9231
Entity
Organization
Contact information
Practice address
417 CAPP HARLAN ROAD, TOMPKINSVILLE, KY 42167
(270) 487-5905
(270) 487-6369
Mailing address
529 CAPP HARLAN RD, TOMPKINSVILLE, KY 42167-1808
(270) 487-9231
(270) 487-5784
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
150137
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054262
BLUE CROSS BLUE SHIELD
KY
05
—
34001867
—
KY
05
—
42010868
—
KY
05
—
43000389
—
KY
05
—
45348232
—
KY
Enumeration date
10/31/2006
Last updated
08/22/2020
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