Monticello Medical Center, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

01050576A Issued in IN

Legal business name

MONTICELLO MEDICAL CENTER, LLC

Practice address

826 N 6TH St
Monticello, IN 47960-1752

Phone

(574) 583-3333

Fax

(574) 583-4785

NPI assigned

Feb 27, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Charles R Tribbett, MDNPI 1164404893

Title

Owner

Phone

(574) 583-3333

Specialties & licenses 1

Addresses

Tax ID family

Cass County Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tribbett Family Medicine, LLC

  • Family Medicine Physician
  • Monticello, IN
  • NPI 1427416361
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles R. Tribbett, M.D.

  • Family Medicine Physician
  • Monticello, IN
  • NPI 1164404893
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093781171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 N 6TH ST",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479601752",
            "telephone_number": "574-583-3333",
            "fax_number": "574-583-4785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 N 6TH ST",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479601752",
            "telephone_number": "574-583-3333",
            "fax_number": "574-583-4785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTICELLO MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRIBBETT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-583-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": "01050576A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mid America Fiberglass, Inc.
• Nicole Mikels, OD
• Kylee Miller
• William J Misenheimer, D.C.
• Monticello Eye Center, P.C.
• Monticello Medical Center, LLC
• Monticello Podiatry LLC
• Monticello Podiatry LLC
• Monticello Women'S Clinic
• Shanda Mossholder

• Specialist in Monticello, IN
• Providers in Monticello, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.