FULTON MEDICAL CENTER LLC


Address: 850 N Hospital Dr, Suite F, Fulton, MO 65251-2535
Phone: 5736425338

FULTON MEDICAL CENTER LLC (NPI# 1851706493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851706493
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 2014-06-23
Last Update Date 2020-05-20
Authorized Official Name MR. DANIEL R TASSET (VICE CHAIR, NUEHEALTH)
Authorized Official Telephone 9133870510
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Fulton Medical Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
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
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

Office Location

Street Address 850 N HOSPITAL DR
SUITE F
City FULTON
State MO
Zip Code 65251-2535

Providers in the same location

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
1841600095 Fulton Medical Center LLC Clinic/Center 850 N Hospital Dr, Suite F, Fulton, MO 65251-2535 2014-04-28
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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275846495 Dilip Parulekar Md PC General Practice 20 S Hospital Dr, Fulton, MO 65251-2510 2010-07-16
1477658912 Rodolfo Noche Arriola General Practice 418 Hospital Rd, 1, Fulton, MS 38843 2006-09-13
1205015724 Richard R Thompson General Practice 510 S 4th St, Fulton, NY 13069-2904 2007-11-01
1346251774 Kulangara Punnen Zacharias General Practice 600 E 5th Street, Fulton State Hospital, Fulton, MO 65251 2006-08-10
1952373573 Billy Tommy Collum General Practice 1 Medical Park Dr, Fulton, MS 38843-9001 2006-02-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790305654 Remedy Health LLC General Practice 37 Doctors Park Ste 3, Cape Girardeau, MO 63703-4903 2020-04-21
1760001598 Md Sarefin Zaman General Practice 2715 W 76 Country Blvd Ste 103, Branson, MO 65616-2344 2020-04-12
1437707551 Home Docs Medical Associates, LLC General Practice 7584 Olive Blvd Ste 204, University City, MO 63130-1600 2019-09-02
1912462912 Thomas George Brett General Practice 800 Missouri 248, Building 3 Suite A, Branson, MO 65616 2019-02-04
1295208403 Sme Kentucky Psc General Practice 5728 Pergola Dr Apt 207, Columbia, MO 65201-2897 2019-01-10
1821579798 Healthy Schools Missouri LLC General Practice 3675 S Noland Rd Ste 200, Independence, MO 64055-3369 2018-08-28
1902300825 Landmark Medical of Missouri PC General Practice 312 Sw Greenwich Dr # 315, Lees Summit, MO 64082-4408 2018-03-23
1740784214 Bridge Integrative Medicine LLC General Practice 305 Nw Englewood Ct Ste 200, Kansas City, MO 64118 2018-03-20
1093218224 Andrew Jason Doppelt General Practice 200 E Southampton Dr Ste 104, Columbia, MO 65203-3032 2018-03-14
1114427606 Khrystal Robinson General Practice 902 E Reed St, Hayti, MO 63851-1243 2018-02-20
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Competitor

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City FULTON
Zip Code 65251

Improve Information

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Dataset Information

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.

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