Organization Name: | MONROE MEDICAL FOUNDATION, INC. |
NPI Number: | 1639389166 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VICKY MCFALL (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 429 Capp Harlan Road Tompkinsville |
State: | KY US |
Postal Code: | 42167 |
Phone Number: | 2704879231 |
Fax Number: | 2704875784 |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 1072 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |