MONROE MEDICAL FOUNDATION, INC. (NPI# 1316023351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316023351 |
Entity Type | Organization |
Organization Name | MONROE MEDICAL FOUNDATION, INC. |
Other Organization Name | MONROE COUNTY MEDICAL CENTER HOME HEALTH AGENCY |
Practice Address |
417 Capp Harlan Road Tompkinsville KY 42167 |
Mailing Address |
529 Capp Harlan Rd Tompkinsville KY 42167-1808 |
Practice Telephone | 2704875905 |
Practice Fax Number | 2704876369 |
Mailing Telephone | 2704879231 |
Mailing Fax Number | 2704875784 |
Enumeration Date | 2006-10-31 |
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 | 251E00000X | Home Health | 150137 | KY | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 42010868 | 05 | |
KY | BLUE CROSS BLUE SHIELD | 000000054262 | 01 |
KY | 45348232 | 05 | |
KY | 43000389 | 05 | |
KY | 34001867 | 05 |
Other Name | Type Code |
---|---|
Monroe County Medical Center Home Health Agency | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639389166 | Monroe Medical Foundation, Inc. | Ambulance | 429 Capp Harlan Road, Tompkinsville, KY 42167 | 2007-05-23 |
1598831158 | Monroe Medical Foundation, Inc. | Ambulance | 429 Capp Harlan Rd, Tompkinsville, KY 42167-1808 | 2006-11-27 |
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 |
417 CAPP HARLAN ROAD |
City | TOMPKINSVILLE |
State | KY |
Zip Code | 42167 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043412166 | Monroe Medical Foundation Inc | Home Health | 417 Capp Harlan Road, Tompkinsville, KY 42167 | 2007-06-01 |
1982819355 | Monroe Medical Foundation Inc | Clinic/Center | 417 Capp Harlan Road, Tompkinsville, KY 42167 | 2007-05-11 |
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 |
1639389166 | Monroe Medical Foundation, Inc. | Ambulance | 429 Capp Harlan Road, Tompkinsville, KY 42167 | 2007-05-23 |
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 |
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 | 251E00000X |
Grouping | Agencies |
Classification | Home Health |
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043412166 | Monroe Medical Foundation Inc | Home Health | 417 Capp Harlan Road, Tompkinsville, KY 42167 | 2007-06-01 |
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1861008351 | Matthew Karmo | Home Health | 7911 Smyrna Pkwy, Louisville, KY 40228-1805 | 2020-09-20 |
1306456546 | Crystal Lache Young | Home Health | 6111 Leonard Way, Louisville, KY 40229-1405 | 2020-08-03 |
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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.