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2613 Fairway Dr Fulton MO 65251-4030 | |
(573) 642-1990 | |
(573) 642-5089 |
Full Name | |
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Speciality | Family Medicine |
Location | 2613 Fairway Dr, Fulton, Missouri |
Authorized Official Name and Position | Stephanie Schmidt (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5738841753 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 843966 Kansas City MO 64184-3966 Ph: (573) 884-3300 | 2613 Fairway Dr Fulton MO 65251-4030 Ph: (573) 642-1990 |
NPI Number | 1972027464 |
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Provider Enumeration Date | 07/27/2017 |
Last Update Date | 07/09/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972027464 | NPI | - | NPPES |
550565402 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (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 | |