Provider Demographics
NPI:1376686220
Name:MONROE COUNTY HEALTH DEPT.
Entity Type:Organization
Organization Name:MONROE COUNTY HEALTH DEPT.
Other - Org Name:TENN.DEPT.OF HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:NURSING SUPERVISOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:423-442-3993
Mailing Address - Street 1:PO BOX 38
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37354-0038
Mailing Address - Country:US
Mailing Address - Phone:423-442-3993
Mailing Address - Fax:423-442-9468
Practice Address - Street 1:3469 NEW HWY.68
Practice Address - Street 2:
Practice Address - City:MADISONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37354-0038
Practice Address - Country:US
Practice Address - Phone:423-442-3993
Practice Address - Fax:423-442-9468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPN0000035046251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare