Fulton Medical Center LLC

NPI #1851706493 in Fulton, Missouri

Provider Information

NPI Number: 1851706493
Entity Type: Organization
Organization Name: Fulton Medical Center LLC
Primary Specialty: General Practice
Enumeration Date: Jun 23, 2014
Last Updated: May 20, 2020

Practice Location

Address: 850 N HOSPITAL DR
Address 2: SUITE F
City: Fulton
State: Missouri
ZIP Code: 65251-2535
Phone: (573) 642-5338

Authorized Official

Name: MR. DANIEL R TASSET
Title: VICE CHAIR, NUEHEALTH
Phone: (913) 387-0510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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