Healthcare Provider Details

I. General information

NPI: 1477670453
Provider Name (Legal Business Name): MONROE COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3469 NEW HIGHWAY 68
MADSIONVILLE TN
37354
US

IV. Provider business mailing address

311 WALKER BLVD
MARYVILLE TN
37803
US

V. Phone/Fax

Practice location:
  • Phone: 423-442-3993
  • Fax:
Mailing address:
  • Phone: 865-977-6181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number
License Number StateTN

VIII. Authorized Official

Name: DIANE BOWERS
Title or Position: NURSING SUPERVISOR
Credential: REGISTERED NURSE
Phone: 423-442-3993