Fulton Family Health Associates, P.c. | |
2613 Fairway Dr Suite C Fulton MO 65251-3936 | |
(573) 642-1990 | |
(573) 642-1866 |
Full Name | Fulton Family Health Associates, P.c. |
---|---|
Speciality | Family Medicine |
Location | 2613 Fairway Dr, Fulton, Missouri |
Authorized Official Name and Position | Jaime Motes (OFFICE MANAGER) |
Authorized Official Contact | 5736421990 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fulton Family Health Associates, P.c. 2613 Fairway Dr Suite C Fulton MO 65251-3936 Ph: (573) 642-1990 | Fulton Family Health Associates, P.c. 2613 Fairway Dr Suite C Fulton MO 65251-3936 Ph: (573) 642-1990 |
NPI Number | 1225068455 |
---|---|
Provider Enumeration Date | 07/04/2006 |
Last Update Date | 12/17/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225068455 | NPI | - | NPPES |
504746603 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Jefferson City Medical Group, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 Country Meadow Ln, Fulton, MO 65251 Phone: 736-344-8785 | |