MONROE MEDICAL FOUNDATION, INC. (NPI# 1639389166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639389166 |
| Entity Type | Organization |
| Organization Name | MONROE MEDICAL FOUNDATION, INC. |
| Other Organization Name | MONROE COUNTY MEDICAL CENTER |
| Practice Address |
429 Capp Harlan Road Tompkinsville KY 42167 |
| Mailing Address |
529 Capp Harlan Rd Tompkinsville KY 42167-1808 |
| Practice Telephone | 2704879231 |
| Practice Fax Number | 2704875784 |
| Mailing Telephone | 2704879231 |
| Mailing Fax Number | 2704875784 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. VICKY MCFALL (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2704879231 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
1072 | KY | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 56030802 | 05 |
| Other Name | Type Code |
|---|---|
| Monroe County Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598831158 | Monroe Medical Foundation, Inc. | Ambulance | 429 Capp Harlan Rd, Tompkinsville, KY 42167-1808 | 2006-11-27 |
| 1316023351 | Monroe Medical Foundation, Inc. | Home Health | 417 Capp Harlan Road, Tompkinsville, KY 42167 | 2006-10-31 |
| 1871052001 | Monroe Medical Foundation, Inc. | Nurse Anesthetist, Certified Registered | 529 Capp Harlan Rd, Tompkinsville, KY 42167-1840 | 2019-03-18 |
| 1295143360 | Monroe Medical Foundation, Inc. | Medicare Defined Swing Bed Unit | 529 Capp Harlan Rd, Tompkinsville, KY 42167-1808 | 2014-08-01 |
| 1083854434 | Monroe Medical Foundation, Inc. | Family Medicine | 604 N Main St, Tompkinsville, KY 42167-1128 | 2009-02-25 |
| 1114110202 | Monroe Medical Foundation, Inc. | Emergency Medicine | 529 Capp Harlan Rd, Tompkinsville, KY 42167-1808 | 2007-08-22 |
| 1770776965 | Monroe Medical Foundation, Inc. | Clinical Medical Laboratory | 529 Capp Harlan Rd, Tompkinsville, KY 42167-1808 | 2007-08-22 |
| 1134330848 | Monroe Medical Foundation, Inc. | Emergency Medicine | 529 Capp Harlan Rd, Tompkinsville, KY 42167-1808 | 2007-05-24 |
| 1053499350 | Monroe Medical Foundation, Inc. | General Acute Care Hospital | 529 Capp Harlan Rd, Tompkinsville, KY 42167-1808 | 2006-11-02 |
| Street Address |
429 CAPP HARLAN ROAD |
| City | TOMPKINSVILLE |
| State | KY |
| Zip Code | 42167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013252717 | Middle Tennessee Anesthesia, Pllc | Nurse Anesthetist, Certified Registered | 529 Cap Harlan Road, Tompkinsville, KY 42167 | 2012-12-06 |
| 1598015067 | Daniel S Hall | Case Manager/Care Coordinator | 800 North Main Street, Tompkinsville, KY 42167 | 2012-09-12 |
| 1013191808 | Monroe County Health Department | Public Health or Welfare | 420 Elementary School Rd., Tompkinsville, KY 42167 | 2007-12-28 |
| 1386828127 | Dr. Rebecca Greer | Dentist | 42 Executive Drive, Tompkinsville, KY 42167 | 2007-12-27 |
| 1043433758 | John Douglas Page | Dentist | 204 W Paige Street, Tompkinsville, KY 42167 | 2007-04-11 |
| 1710011200 | Larry Owen Miller | Dietitian, Registered | 452 E. 4th St, Tompkinsville, KY 42167 | 2007-03-15 |
| 1316023351 | Monroe Medical Foundation, Inc. | Home Health | 417 Capp Harlan Road, Tompkinsville, KY 42167 | 2006-10-31 |
| 1003992462 | Kenneth Ray Crabtree | Family Medicine | 529 Capp Harlan Road, Tompkinsville, KY 42167 | 2006-10-28 |
| 1720013873 | William Michael Carter | Family Medicine | 606 N Main Street, Tompkinsville, KY 42167 | 2006-07-11 |
| 1386616464 | Amy Comer | Nurse Practitioner | 452 E 4th Street, Tompkinsville, KY 42167 | 2006-02-03 |
| Find all providers in zip 42167 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598831158 | Monroe Medical Foundation, Inc. | Ambulance | 429 Capp Harlan Rd, Tompkinsville, KY 42167-1808 | 2006-11-27 |
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|---|---|---|---|---|
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| Find all providers with the same taxonomy | ||||
| City | TOMPKINSVILLE |
| Zip Code | 42167 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.