NPIMap

Organization Active NPI

Monroe Medical Foundation, Inc.

Doing business as Monroe County Medical Center

  • Certified Registered Nurse Anesthetist
  • Tompkinsville, KY
National Provider Identifier
1871052001
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
MONROE MEDICAL FOUNDATION, INC.
Doing business as
Monroe County Medical Center
Practice address
529 Capp Harlan Rd
Tompkinsville, KY 42167-1840
Phone
(270) 487-9231
Fax
(270) 487-5784
NPI assigned
Mar 18, 2019
Last updated
Mar 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

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 names 1

  • Monroe County Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Monroe Co Med Ctrekg13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

NPI Registry JSON

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552867200000",
    "number": "1871052001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 CAPP HARLAN RD",
            "city": "TOMPKINSVILLE",
            "state": "KY",
            "postal_code": "421671840",
            "telephone_number": "270-487-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 CAPP HARLAN RD",
            "city": "TOMPKINSVILLE",
            "state": "KY",
            "postal_code": "421671840",
            "telephone_number": "270-487-9231",
            "fax_number": "270-487-5784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE MEDICAL FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-18",
        "last_updated": "2019-03-18",
        "status": "A",
        "authorized_official_last_name": "MELTON",
        "authorized_official_first_name": "ALISA",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "ASSISTANT CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "270-487-9231"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monroe County Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tompkinsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.