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850 N Hospital Dr Ste F Fulton MO 65251-2535 | |
(573) 642-5338 | |
(573) 642-9224 |
Full Name | |
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Speciality | Clinic/Center |
Location | 850 N Hospital Dr Ste F, Fulton, Missouri |
Authorized Official Name and Position | Jeffrey A Stone (INTERIM CEO) |
Authorized Official Contact | 5736423376 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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10 S Hospital Dr Fulton MO 65251-2510 Ph: (573) 642-3376 | 850 N Hospital Dr Ste F Fulton MO 65251-2535 Ph: (573) 642-5338 |
NPI Number | 1689287955 |
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Provider Enumeration Date | 08/26/2020 |
Last Update Date | 06/23/2022 |
Medicare PECOS PAC ID | 5496163065 |
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Medicare Enrollment ID | O20210420001722 |
Identifier | Type | State | Issuer |
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1689287955 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Fulton Family Health Associates, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2613 Fairway Dr, Suite C, Fulton, MO 65251 Phone: 573-642-1990 Fax: 573-642-1866 | |
Jefferson City Medical Group, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 Country Meadow Ln, Fulton, MO 65251 Phone: 736-344-8785 |