National Provider Identifier Database

MONTICELLO MEDICAL CENTER LLC
Rural Health


Contact Information

MONTICELLO MEDICAL CENTER, LLC
826 N 6TH ST
MONTICELLO, IN47960-1752
Phone: 574-583-3333
Fax: 574-583-4785
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X
Family Medicine 207Q00000X
Internal Medicine 207R00000X
Obstetrics & Gynecology 207V00000X

* Indicates primary specialty

NPI Profile & details for MONTICELLO MEDICAL CENTER, LLC

NPI Number 1871645531
Legal business name
LBN
MONTICELLO MEDICAL CENTER, LLC
Authorized official CHARLES TRIBBETT - (OWNER)
Entity Organization
Organization subpart Yes
Enumeration date 01/16/2007
Last updated 08/02/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • IN Medicaid: 2000099180A
  • IN Medicaid: 200495560

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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