| Fulton Family Medical | |
|
218 Main Street Fulton AL 36446 | |
| (334) 636-4823 | |
| (334) 636-1702 |
| Full Name | Fulton Family Medical |
|---|---|
| Speciality | Clinic/Center |
| Location | 218 Main Street, Fulton, Alabama |
| Authorized Official Name and Position | Huey R Kidd (PHYSICIAN) |
| Authorized Official Contact | 3346364823 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fulton Family Medical Po Box 65 Fulton AL 36446-0065 Ph: (334) 636-4823 | Fulton Family Medical 218 Main Street Fulton AL 36446 Ph: (334) 636-4823 |
| NPI Number | 1841510799 |
|---|---|
| Provider Enumeration Date | 06/02/2010 |
| Last Update Date | 01/08/2019 |
| Medicare PECOS PAC ID | 4981720422 |
|---|---|
| Medicare Enrollment ID | O20101118000460 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841510799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| Provider Name | Huey Kidd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265427090 PECOS PAC ID: 5294633897 Enrollment ID: I20111212000278 |
| Provider Name | Donna C Stebbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871943324 PECOS PAC ID: 1658659826 Enrollment ID: I20161024001813 |
Fulton Healthcare Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 218 Main Street, Fulton, AL 36446 Phone: 334-636-4823 | |
Aka Fulton Family Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 218 Main St, Fulton, AL 36446 Phone: 334-636-4823 |