Fulton Medical Center Llc | |
10 S Hospital Dr Fulton MO 65251-2510 | |
(573) 642-3376 | |
(573) 642-9830 |
Full Name | Fulton Medical Center Llc |
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Speciality | Psychiatric Unit |
Location | 10 S Hospital Dr, Fulton, Missouri |
Authorized Official Name and Position | Daniel R Tasset (VICE CHAIR, NUEHEALTH) |
Authorized Official Contact | 9133870510 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Fulton Medical Center Llc 11221 Roe Ave Suite 320 Leawood KS 66211-1922 Ph: (913) 387-0510 | Fulton Medical Center Llc 10 S Hospital Dr Fulton MO 65251-2510 Ph: (573) 642-3376 |
NPI Number | 1336559582 |
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Provider Enumeration Date | 04/28/2014 |
Last Update Date | 05/20/2020 |
Certification Date | 05/20/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336559582 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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