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110 N Hospital Dr Fulton MO 65251-2511 | |
(573) 642-5911 | |
(573) 642-3015 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 110 N Hospital Dr, Fulton, Missouri |
Authorized Official Name and Position | Jeff Crawford (ASSISTANT DIRECTOR) |
Authorized Official Contact | 5738827767 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 7687 Columbia MO 65205-7687 Ph: (573) 882-8612 | 110 N Hospital Dr Fulton MO 65251-2511 Ph: (573) 642-5911 |
NPI Number | 1699846808 |
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Provider Enumeration Date | 11/10/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1699846808 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Fulton Family Health Associates, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2613 Fairway Dr, Suite C, Fulton, MO 65251 Phone: 573-642-1990 Fax: 573-642-1866 | |
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 | |