FULTON MEDICAL CENTER LLC (NPI# 1841600095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841600095 |
| Entity Type | Organization |
| Organization Name | FULTON MEDICAL CENTER LLC |
| Other Organization Name | FULTON MEDICAL CLINIC |
| Practice Address |
850 N Hospital Dr Suite F Fulton MO 65251-2535 |
| Mailing Address |
11221 Roe Ave Suite 320 Leawood KS 66211-1922 |
| Practice Telephone | 5736425338 |
| Mailing Telephone | 9133870510 |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2020-05-20 |
| Authorized Official Name | MR. DANIEL R TASSET (VICE CHAIR, NUEHEALTH) |
| Authorized Official Telephone | 9133870510 |
| 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 |
|---|---|---|---|---|
| 1851706493 | Fulton Medical Center LLC | General Practice | 850 N Hospital Dr, Suite F, Fulton, MO 65251-2535 | 2014-06-23 |
| 1336559582 | Fulton Medical Center LLC | Psychiatric Unit | 10 S Hospital Dr, Fulton, MO 65251-2510 | 2014-04-28 |
| 1417367665 | Fulton Medical Center LLC | General Acute Care Hospital | 10 S Hospital Dr, Fulton, MO 65251-2510 | 2014-04-28 |
| 1699185843 | Fulton Medical Center LLC | Medicare Defined Swing Bed Unit | 10 S Hospital Dr, Fulton, MO 65251-2510 | 2014-04-28 |
| Street Address |
850 N HOSPITAL DR SUITE F |
| City | FULTON |
| State | MO |
| Zip Code | 65251-2535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124054556 | Rezwan Islam | Family Medicine | 850 N Hospital Dr, Ste D, Fulton, MO 65251-2535 | 2006-06-25 |
| 1164029146 | Karl Christian Sonntag | Internal Medicine | 850 N Hospital Dr, Fulton, MO 65251-2535 | 2020-10-03 |
| 1023491099 | Elizabeth Ann Yarbrough | Nurse Practitioner | 850 N Hospital Dr, Suite F, Fulton, MO 65251-2535 | 2015-07-08 |
| 1851706493 | Fulton Medical Center LLC | General Practice | 850 N Hospital Dr, Suite F, Fulton, MO 65251-2535 | 2014-06-23 |
| 1891946877 | Jack Wenkel | Physician Assistant | 850 N Hospital Dr, Suite F, Fulton, MO 65251-2535 | 2008-10-08 |
| 1659568574 | Katherine E Skibiski | Specialist | 850 N Hospital Dr, Suite H, Fulton, MO 65251-2535 | 2007-09-25 |
| 1780884619 | Kristen Brooke Oesch | Nurse Practitioner | 850 N Hospital Dr, Suite F, Fulton, MO 65251-2535 | 2007-07-19 |
| 1043394588 | Debra E Brown | Nurse Practitioner | 850 N Hospital Dr, Suite F, Fulton, MO 65251-2535 | 2006-10-24 |
| 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 |
| 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 |
| 1295778314 | Healthmont of Missouri LLC | Clinic/Center | 850 W Hospital Dr, Suite F, Fulton, MO 65251 | 2006-06-14 |
| 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.