Organization
MONROE MEDICAL FOUNDATION, INC.
Active
Other names
Monroe County Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
ALISA NICHOLE MELTON (ASSISTANT CHIEF FINANCIAL OFFICER)
(270) 487-9231
Entity
Organization
Contact information
Practice address
529 CAPP HARLAN RD, TOMPKINSVILLE, KY 42167-1840
(270) 487-9231
(270) 487-5784
Mailing address
529 CAPP HARLAN RD, TOMPKINSVILLE, KY 42167-1840
(270) 487-9231
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0158
MEDICARE
—
Enumeration date
03/18/2019
Last updated
03/18/2019
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