NPIMap

Organization Active NPI

Monroe Medical Foundation Inc

  • Adult Day Care Clinic/Center
  • Tompkinsville, KY
National Provider Identifier
1982819355
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
750131 Issued in KY
Legal business name
MONROE MEDICAL FOUNDATION INC
Practice address
417 Capp Harlan Road
Tompkinsville, KY 42167
Phone
(270) 487-9231
Fax
(270) 487-5784
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Rickie F Brown
Title
Chief Financial Officer
Phone
(270) 487-9231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 750131 KY Primary

Addresses

Primary practice location

417 Capp Harlan Road
Tompkinsville, KY 42167

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
4300038900MedicaidKY

Other names 1

  • Monroe County Medical Center Adult Day Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Monroe Medical Foundation Inc13 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": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982819355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 CAPP HARLAN ROAD",
            "city": "TOMPKINSVILLE",
            "state": "KY",
            "postal_code": "42167",
            "telephone_number": "270-487-9231",
            "fax_number": "270-487-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 CAPP HARLAN ROAD",
            "city": "TOMPKINSVILLE",
            "state": "KY",
            "postal_code": "42167",
            "telephone_number": "270-487-9231",
            "fax_number": "270-487-5784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE MEDICAL FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "RICKIE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "270-487-9231",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "KY",
            "license": "750131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4300038900",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monroe County Medical Center Adult Day Care",
            "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 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.