| Organization Name: | MONROE MEDICAL FOUNDATION INC |
| NPI Number: | 1982819355 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICKIE F BROWN (CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 417 Capp Harlan Road Tompkinsville |
| State: | KY US |
| Postal Code: | 42167 |
| Phone Number: | 2704879231 |
| Fax Number: | 2704875784 |
| NPI Enumeration Date: | 05/11/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | 750131 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |