MONTICELLO MEDICAL CENTER LLC NPI 1871645531

NPI Information

NPI: 1871645531
Provider Name: MONTICELLO MEDICAL CENTER, LLC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
826 N 6TH ST
MONTICELLO, IN
ZIP 47960
Phone: (574) 583-3333
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MONTICELLO MEDICAL CENTER, LLC is a rural health clinic center in Monticello, IN. MONTICELLO MEDICAL CENTER, LLC NPI is 1871645531. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

826 N 6TH ST
MONTICELLO, IN
ZIP 47960-752
Phone: (574) 583-3333
Fax: (574) 583-4785

The provider's authorized official is Charles R. Tribbett .
The authorized official title is Owner and has the following contact phone number (574) 583-3333.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 8/2/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	207Q00000X	Family Medicine			No
2	207R00000X	Internal Medicine		INDIANA	No
3	207V00000X	Obstetrics & Gynecology		INDIANA	No
4	261QR1300X	Clinic/Center	Rural Health		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	153828	MEDICARE OSCAR/CERTIFICATION	TENNESSEE
2	921430	MEDICARE ID-TYPE UNSPECIFIED	INDIANA	MEDICARE NUNBER
3	153865	MEDICARE OSCAR/CERTIFICATION	TENNESSEE
4	2000099180A	MEDICAID	INDIANA
5	220170	MEDICARE PIN	INDIANA
6	200495560	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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