Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 100 E Dunn St, Fulton, Indiana |
Authorized Official Name and Position | Carrie Bowers (CFO) |
Authorized Official Contact | 5742241118 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
1400 E 9th St Rochester IN 46975-8931 Ph: (574) 223-3141 | 100 E Dunn St Fulton IN 46931 Ph: (574) 857-5995 |
NPI Number | 1174186894 |
---|---|
Provider Enumeration Date | 04/18/2019 |
Last Update Date | 10/24/2023 |
Medicare PECOS PAC ID | 4082506993 |
---|---|
Medicare Enrollment ID | O20190702000733 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174186894 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Fulton County Medical Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 East Dunn St, Fulton, IN 46931 Phone: 574-857-5995 |