| Fulton Healthcare Clinic | |
|
218 Main Street Fulton AL 36446-2000 | |
| (334) 636-4823 | |
| Not Available |
| Full Name | Fulton Healthcare Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 218 Main Street, Fulton, Alabama |
| Authorized Official Name and Position | H Douglas Sewell (CEO) |
| Authorized Official Contact | 2512753191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fulton Healthcare Clinic Po Box 935 Grove Hill AL 36451-0935 Ph: (251) 275-3191 | Fulton Healthcare Clinic 218 Main Street Fulton AL 36446-2000 Ph: (334) 636-4823 |
| NPI Number | 1144270257 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 08/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144270257 | NPI | - | NPPES |
| 540003922 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Aka Fulton Family Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 218 Main St, Fulton, AL 36446 Phone: 334-636-4823 | |
Fulton Family Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 218 Main Street, Fulton, AL 36446 Phone: 334-636-4823 Fax: 334-636-1702 |