| Fulton Family Health Clinic | |
|
1705 16th Ave Fulton IL 61252-9708 | |
| (815) 589-2121 | |
| (815) 589-4468 |
| Full Name | Fulton Family Health Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1705 16th Ave, Fulton, Illinois |
| Authorized Official Name and Position | Thomas A Moser (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 5632432511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fulton Family Health Clinic 915 13th Ave N Clinton IA 52732-5067 Ph: (563) 243-2511 | Fulton Family Health Clinic 1705 16th Ave Fulton IL 61252-9708 Ph: (815) 589-2121 |
| NPI Number | 1568416022 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 03/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568416022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Mercyone Fulton Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1705 16th Ave, Fulton, IL 61252 Phone: 815-589-2121 Fax: 815-589-4468 | |
Whiteside County Community Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1207 12th St, Fulton, IL 61252 Phone: 815-626-2230 |