Organization
MONROE MEDICAL FOUNDATION, INC.
Active
Other names
Monroe County Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
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
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37000916
—
KY
01
—
69742
ANTHEM
KY
Enumeration date
08/22/2007
Last updated
08/22/2007
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