MONTICELLO MEDICAL CENTER, LLC (NPI# 1871645531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871645531 |
| Entity Type | Organization |
| Organization Name | MONTICELLO MEDICAL CENTER, LLC |
| Practice Address |
826 N 6th St Monticello IN 47960-1752 |
| Practice Telephone | 5745833333 |
| Practice Fax Number | 5745834785 |
| Mailing Telephone | 5745833333 |
| Mailing Fax Number | 5745834785 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2011-08-02 |
| Authorized Official Name | DR. CHARLES R. TRIBBETT (OWNER) |
| Authorized Official Telephone | 5745833333 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | NO |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | IN | Allopathic & Osteopathic Physicians | |
| N | 207V00000X | Obstetrics & Gynecology | IN | Allopathic & Osteopathic Physicians | |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200495560 | 05 | |
| IN | 2000099180A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093781171 | Monticello Medical Center, LLC | Specialist | 826 N 6th St, Monticello, IN 47960-1752 | 2006-02-27 |
| Street Address |
826 N 6TH ST |
| City | MONTICELLO |
| State | IN |
| Zip Code | 47960-1752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376546200 | Kathleen Jane Halverson | Nurse Practitioner | 826 N 6th St, Monticello, IN 47960-1752 | 2005-05-24 |
| 1811554876 | Shayna Leigh Phegley | Registered Nurse | 826 N 6th St, Monticello, IN 47960-1752 | 2019-05-24 |
| 1841679321 | Elizabeth Stevenson | Nurse Practitioner | 826 N 6th St, Monticello, IN 47960-1752 | 2015-05-29 |
| 1447525589 | Christi C Lanoue | Nurse Practitioner | 826 N 6th St, Monticello, IN 47960-1752 | 2012-03-21 |
| 1093781171 | Monticello Medical Center, LLC | Specialist | 826 N 6th St, Monticello, IN 47960-1752 | 2006-02-27 |
| 1245236603 | Sharon D Musall | Nurse Practitioner | 826 N 6th St, Monticello, IN 47960-1752 | 2005-06-21 |
| 1518969716 | Julie Ellen Becker | Family Medicine | 826 N 6th St, Monticello, IN 47960-1752 | 2005-06-01 |
| 1851394290 | Elizabeth Ann Droege | Emergency Medicine | 826 N 6th St, Monticello, IN 47960-1752 | 2005-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255743472 | Suzanne Reber | Pharmacist | 4901 Sr 26th E, Lafayette, IN 47960 | 2014-05-22 |
| 1588075949 | Theodore Eckerle | Social Worker | 920 West Executive Court, Monticello, IN 47960 | 2014-05-19 |
| 1598805723 | Twin Lakes School Corporation | Local Education Agency (LEA) | 565 S Main Street, Monticello, IN 47960 | 2007-02-07 |
| 1003904806 | Forest Richard Robertson II | Dentist | 515 S Illinois St, Monticello, IN 47960 | 2006-10-10 |
| 1447345889 | Linda Jean Feuquay | Counselor | 207 N. Bluff St., Monticello, IN 47960 | 2006-10-03 |
| 1548270697 | Cdc Resources Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5053 Norway Rd, Monticello, IN 47960 | 2006-08-09 |
| 1528040516 | The Eye Center Group LLC | Optometrist | 1101 O'connor Blvd, Monticello, IN 47960 | 2005-11-16 |
| 1861489254 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1120 N Main St, Monticello, IN 47960 | 2005-09-30 |
| 1467890293 | White County Community Counseling Services LLC | Counselor | 126 S Main St, Monticello, IN 47960 | 2013-06-14 |
| 1144589813 | Angelique Witlam | Physical Therapist | 906 W. Executive Court, Monticello, IN 47960 | 2012-05-15 |
| Find all providers in zip 47960 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043716525 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 733 Roberts Drive, Monticello, AR 71655 | 2018-04-03 |
| 1245289172 | Southwest Mississippi Regional Medical Center | Clinic/Center | 1167 E Broad St, Monticello, MS 39654-7682 | 2006-05-08 |
| 1851867139 | Emilee Burton Greenwood | Clinic/Center | 1215 N Main St Ste 2, Monticello, KY 42633-2900 | 2018-10-15 |
| 1558527259 | Kirby Medical Center | Clinic/Center | 1000 Medical Center Dr, Monticello, IL 61856-2116 | 2008-08-01 |
| 1700955317 | Mercy Physician Associates, Inc | Clinic/Center | 619 S Main St, Monticello, IA 52310-1733 | 2006-11-07 |
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| 1659935781 | Rush Memorial Hospital | Clinic/Center | 201 Conrad Harcourt Way Ste A, Rushville, IN 46173-1157 | 2019-04-24 |
| 1174186894 | Woodlawn Hospital | Clinic/Center | 100 E Dunn St, Fulton, IN 46931 | 2019-04-18 |
| 1710540695 | Woodlawn Hospital | Clinic/Center | 105 N Sr 14, Akron, IN 46910 | 2019-04-17 |
| 1174091771 | Baptist Health Medical Group Inc | Clinic/Center | 313 Federal Dr Nw Ste 130, Corydon, IN 47112-3099 | 2018-11-13 |
| 1457860173 | Major Hospital | Clinic/Center | 2451 Intelliplex Dr Ste 230, Shelbyville, IN 46176-8581 | 2017-09-26 |
| 1699194704 | Mso Clinics, Inc. | Clinic/Center | 8685 Old Highway 41 South, Carlisle, IN 47838-8234 | 2014-04-16 |
| 1538417860 | Reid Physician Associates, Inc | Clinic/Center | 1250 Chester Blvd Ste 2, Richmond, IN 47374-1944 | 2012-08-16 |
| 1023340965 | Daviess County Hospital | Clinic/Center | 1805 S State Road 57, Washington, IN 47501-4326 | 2010-02-03 |
| Find all providers with the same taxonomy | ||||
| City | MONTICELLO |
| Zip Code | 47960 |
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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.