Provider Demographics
NPI:1164806444
Name:MONROE HOSOITAL
Entity Type:Organization
Organization Name:MONROE HOSOITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE VERIFICATION SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:KASIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PAULING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-825-1111
Mailing Address - Street 1:4011 S MONROE MEDICAL PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47403-8000
Mailing Address - Country:US
Mailing Address - Phone:812-825-1111
Mailing Address - Fax:812-825-0786
Practice Address - Street 1:4011 MONROE MEDICAL PARK
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47403
Practice Address - Country:US
Practice Address - Phone:812-825-1111
Practice Address - Fax:812-825-0786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-16
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital