Monroe Medical Foundation, Inc.

Organization Active NPI Certified Registered Nurse Anesthetist · Tompkinsville, KY

NPI 1871052001 · NPPES record last updated Mar 18, 2019

Key facts

NPI
1871052001
Entity type
Organization (NPI type 2)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
Legal business name
MONROE MEDICAL FOUNDATION, INC.
Practice address
529 Capp Harlan Rd
Tompkinsville, KY 42167-1840
Phone
(270) 487-9231
Fax
(270) 487-5784
NPI assigned
Mar 18, 2019
Organization subpart
No

Authorized official

Name
Alisa Nichole Melton
Title
Assistant Chief Financial Officer
Phone
(270) 487-9231

Corporate family (same tax ID) 12

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

National Provider Directory

Tax ID family
Monroe Medical Foundation Inc (13 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist
Group: 193400000X SINGLE SPECIALTY GROUP
367500000X Yes

Addresses

Primary practice location

529 Capp Harlan Rd
Tompkinsville, KY 42167-1840

Mailing address

529 Capp Harlan Rd
Tompkinsville, KY 42167-1840
Phone (270) 487-9231

Other identifiers

IdentifierTypeStateIssuer
0158OtherMEDICARE

Other names

  • Monroe County Medical Center Doing business as

Other providers in Tompkinsville, KY

All providers in Tompkinsville, KY · Certified Registered Nurse Anesthetist in Kentucky

Sources for this page

Verify at the official NPI Registry.