HEALTHMONT OF MISSOURI LLC (NPI# 1295778314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295778314 |
| Entity Type | Organization |
| Organization Name | HEALTHMONT OF MISSOURI LLC |
| Other Organization Name | FULTON MEDICAL CLINIC |
| Practice Address |
850 W Hospital Dr Suite F Fulton MO 65251 |
| Practice Telephone | 5736425338 |
| Practice Fax Number | 5736429224 |
| Mailing Telephone | 5736425338 |
| Mailing Fax Number | 5736429224 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2012-02-14 |
| Authorized Official Name | JOHN GRAVES (CEO) |
| Authorized Official Telephone | 5736423376 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Fulton Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033110267 | Healthmont of Missouri LLC | General Acute Care Hospital | 10 S Hospital Dr, Fulton, MO 65251-2510 | 2005-08-10 |
| 1306140371 | Healthmont of Missouri LLC | Psychiatric Unit | 10 S Hospital Dr, Fulton, MO 65251-2510 | 2011-01-05 |
| 1275760829 | Healthmont of Missouri LLC | Specialist | 850 W Hospital Dr, Suite F, Fulton, MO 65251-2535 | 2009-06-22 |
| 1184667263 | Healthmont of Missouri LLC | Medicare Defined Swing Bed Unit | 10 S Hospital Dr, Fulton, MO 65251-2510 | 2006-06-14 |
| Street Address |
850 W HOSPITAL DR SUITE F |
| City | FULTON |
| State | MO |
| Zip Code | 65251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679559033 | Ricci R. Porter | Family Medicine | 850 W Hospital Dr, Ste D, Fulton, MO 65251 | 2005-12-19 |
| 1689120933 | Rachael Fletcher | Physical Therapist | 850 W Hospital Dr, Suite A, Fulton, MO 65251 | 2016-08-28 |
| 1710212766 | Gina M Oliver | Nurse Practitioner | 850 W Hospital Dr, Ste F, Fulton, MO 65251 | 2009-10-08 |
| 1275760829 | Healthmont of Missouri LLC | Specialist | 850 W Hospital Dr, Suite F, Fulton, MO 65251-2535 | 2009-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174008023 | East Central Missouri Behavioral Health Services, Inc. | Psychiatry & Neurology | 581 Commons Drive, Fulton, MO 65251 | 2018-09-26 |
| 1659888428 | Annette Marie Holt | Nurse Practitioner | 350 Country Meadows Lane, Fulton, MO 65251 | 2018-01-03 |
| 1922458454 | Benjamin Newell Crary | Family Medicine | 110 N Hosital Dr, Fulton, MO 65251 | 2016-06-15 |
| 1750763348 | Ssm Audrain Health Care, Inc | Clinic/Center | 350 Country Meadow Ln, Fulton, MO 65251 | 2015-06-19 |
| 1366829426 | Bigeye Emergency Physicians LLC | Emergency Medicine | 10 South Hospital Deive, Fulton, MO 65251 | 2015-04-28 |
| 1881019750 | Mid-missouri Hearing and Balance, Inc. | Audiologist-Hearing Aid Fitter | 850 W. Hospital Drive, Ste. G, Fulton, MO 65251 | 2014-02-28 |
| 1861828105 | Justin Ryan Campbell | Occupational Therapist | 508 Saint Eunice Road, Fulton, MO 65251 | 2013-09-18 |
| 1417257536 | June A Dillon | Counselor | 2625 Fairway Dr., Suite E, Fulton, MO 65251 | 2010-10-22 |
| 1033354196 | Michael K Mcelhinney | Specialist/Technologist | One University Avenue, William Woods University - Athletics, Fulton, MO 65251 | 2008-12-03 |
| 1326299967 | Karanbir Sandhu | Dentist | 1393 Highway O, Fulton, MO 65251 | 2008-10-01 |
| Find all providers in zip 65251 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174186894 | Woodlawn Hospital | Clinic/Center | 100 E Dunn St, Fulton, IN 46931 | 2019-04-18 |
| 1689287955 | Noble Health Fulton Inc. | Clinic/Center | 10 S Hospital Dr, Fulton, MO 65251-2510 | 2020-08-26 |
| 1437623337 | Pinelake Physician Practice, LLC | Clinic/Center | 101 Main St, Fulton, KY 42041-1601 | 2019-01-14 |
| 1841600095 | Fulton Medical Center LLC | Clinic/Center | 850 N Hospital Dr, Suite F, Fulton, MO 65251-2535 | 2014-04-28 |
| 1841510799 | Huey R Kidd Do PC | Clinic/Center | 218 Main Street, Fulton, AL 36446 | 2010-06-02 |
| 1922100122 | Hospital of Fulton Inc | Clinic/Center | 2006 Holiday Ln, Suite 100, Fulton, KY 42041-8468 | 2006-09-01 |
| 1902874910 | Hospital of Fulton Inc | Clinic/Center | 2006 Holiday Ln, Suite 100, Fulton, KY 42041-8468 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102137 | Washington County Memorial Hospital | Clinic/Center | 14206 Hwy C, Belgrade, MO 63622 | 2020-07-23 |
| 1891325072 | Scotland County Memorial Hospital | Clinic/Center | 55682 State Highway 6 Ste A, Edina, MO 63537-4268 | 2020-01-16 |
| 1639736457 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 800 Us Highway 61, New Madrid, MO 63869-1106 | 2019-05-28 |
| 1134633456 | Pike County Memorial Hospital | Clinic/Center | 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 | 2017-11-22 |
| 1720505894 | Perry County Health System | Clinic/Center | 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 | 2017-08-29 |
| 1427572007 | Missouri Delta Medical Center | Clinic/Center | 209 W Yoakum Ave, Chaffee, MO 63740-1138 | 2017-07-26 |
| 1790213676 | Jackson Primary Care LLC | Clinic/Center | 2685 E Main St Ste A, Jackson, MO 63755-2474 | 2017-05-23 |
| 1972050581 | Sgoh Acquisition, Inc. | Clinic/Center | 912b State Highway 59, Goodman, MO 64843-8252 | 2016-09-01 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1669856829 | Ssm Regional Health Services | Clinic/Center | 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 | 2015-07-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.