FULTON MEDICAL CENTER LLC (NPI# 1417367665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417367665 |
| Entity Type | Organization |
| Organization Name | FULTON MEDICAL CENTER LLC |
| Practice Address |
10 S Hospital Dr Fulton MO 65251-2510 |
| Mailing Address |
11221 Roe Ave Suite 320 Leawood KS 66211-1922 |
| Practice Telephone | 5736423376 |
| Practice Fax Number | 5736429830 |
| Mailing Telephone | 9133870510 |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2020-05-20 |
| Authorized Official Name | MR. DANIEL R TASSET (CEO, NUEHEALTH) |
| Authorized Official Telephone | 9133870510 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| 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 |
| 1841600095 | Fulton Medical Center LLC | Clinic/Center | 850 N Hospital Dr, Suite F, Fulton, MO 65251-2535 | 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 |
10 S HOSPITAL DR |
| City | FULTON |
| State | MO |
| Zip Code | 65251-2510 |
| 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 |
| 1689287955 | Noble Health Fulton Inc. | Clinic/Center | 10 S Hospital Dr, Fulton, MO 65251-2510 | 2020-08-26 |
| 1033722301 | Noble Health Fulton Inc. | Clinic/Center | 10 S Hospital Dr, Fulton, MO 65251-2510 | 2020-08-26 |
| 1407469778 | Noble Health Fulton Inc. | Medicare Defined Swing Bed Unit | 10 S Hospital Dr, Fulton, MO 65251-2510 | 2020-08-26 |
| 1427661792 | Noble Health Fulton Inc. | Psychiatric Unit | 10 S Hospital Dr, Fulton, MO 65251-2510 | 2020-08-26 |
| 1053933457 | Noble Health Fulton Inc. | General Acute Care Hospital | 10 S Hospital Dr, Fulton, MO 65251-2510 | 2020-05-08 |
| 1386292969 | Newton Emergency Group, LLC | Physician Assistant | 10 S Hospital Dr, Fulton, MO 65251-2510 | 2019-08-28 |
| 1295391530 | Dina Goodin | Nurse Practitioner | 10 S Hospital Dr, Fulton, MO 65251-2510 | 2019-05-13 |
| 1073972642 | Kara Beth Jaegers | Dietitian, Registered | 10 S Hospital Dr, Fulton, MO 65251-2510 | 2016-02-11 |
| 1407243132 | Missouri Em-i Medical Services PC | Physician Assistant | 10 S Hospital Dr, Fulton, MO 65251-2510 | 2015-04-21 |
| Find all providers in the same location | ||||
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427029941 | Hospital of Fulton, Inc. | General Acute Care Hospital | 2000 Holiday Ln, Fulton, KY 42041-8468 | 2006-02-01 |
| 1033110267 | Healthmont of Missouri LLC | General Acute Care Hospital | 10 S Hospital Dr, Fulton, MO 65251-2510 | 2005-08-10 |
| 1053933457 | Noble Health Fulton Inc. | General Acute Care Hospital | 10 S Hospital Dr, Fulton, MO 65251-2510 | 2020-05-08 |
| 1386709962 | A.l. Lee Memorial Hospital | General Acute Care Hospital | 510 S 4th St, Fulton, NY 13069-2904 | 2006-12-26 |
| 1619911401 | Albert Lindley Lee Memorial | General Acute Care Hospital | 510 S 4th St, Fulton, NY 13069-2904 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295274256 | St. Lukes Health System | General Acute Care Hospital | 8101 N Lawndale Ave, Unit 2a, Kansas City, MO 64119-7808 | 2017-02-22 |
| 1093265159 | Missouri Delta Medical Center | General Acute Care Hospital | 2856 Vista Ridge Pl, Jackson, MO 63755-8105 | 2016-10-12 |
| 1285082040 | Jessica Teschner | General Acute Care Hospital | 3201 Ballard Mill Dr, Columbia, MO 65203-1875 | 2016-06-01 |
| 1912368002 | Emily Daniels | General Acute Care Hospital | 1737 Redbird Cv, Saint Louis, MO 63144-1610 | 2016-03-16 |
| 1225415417 | Parkland Veterinary Services, Inc. | General Acute Care Hospital | 615 E Karsch Blvd, Farmington, MO 63640-1225 | 2015-04-27 |
| 1841698164 | Mercy Clinic East Community | General Acute Care Hospital | 1021 Darwick Ct, Saint Louis, MO 63132-2909 | 2014-12-18 |
| 1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
| 1730528662 | Barnes Jewish Hospital | General Acute Care Hospital | 4512 Cleveland Ave, Apt 12, Saint Louis, MO 63110-3318 | 2013-06-25 |
| 1366796757 | Barnes Jewish Hospital | General Acute Care Hospital | 2180 Splendor Dr, Florissant, MO 63031-2640 | 2012-11-06 |
| 1952651341 | Faisal Alasmari | General Acute Care Hospital | 13928 Reflection Drive, Reflection Cove Apartments, Apt#235, Ballwin, MO 63021 | 2012-09-13 |
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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.