| Mercyone Fulton Family Medicine | |
|
1705 16th Ave Fulton IL 61252-9708 | |
| (815) 589-2121 | |
| (815) 589-4468 |
| Full Name | Mercyone Fulton Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1705 16th Ave, Fulton, Illinois |
| Authorized Official Name and Position | Mellissa Wood (COO/CNO) |
| Authorized Official Contact | 5632445608 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercyone Fulton Family Medicine 621 S Illinois Ave Ste 103 Mason City IA 50401-5489 Ph: (641) 428-3900 | Mercyone Fulton Family Medicine 1705 16th Ave Fulton IL 61252-9708 Ph: (815) 589-2121 |
| NPI Number | 1487218079 |
|---|---|
| Provider Enumeration Date | 04/29/2019 |
| Last Update Date | 10/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487218079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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 | |
Fulton Family Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1705 16th Ave, Fulton, IL 61252 Phone: 815-589-2121 Fax: 815-589-4468 |