Organization · Type 2 NPI

Fulton Medical Center LLC

General Practice Physician · Fulton, MO

NPI number 1851706493 Active

Practice location

850 N Hospital Dr, Suite F
Fulton, MO 65251-2535

Call (573) 642-5338 Map

Mailing address

11221 Roe Ave, Suite 320
Leawood, KS 66211-1922

Specialties and licenses

Taxonomy	Code	License
General Practice Physician Primary	208D00000X	None listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

4 other providers at this address

NPI record

NPI: 1851706493
Entity type: Organization (Type 2)
Issued: Jun 23, 2014
Last updated: May 20, 2020
Status: Active

Other names

<unavail>
Fulton Medical Clinic · doing business as
Fulton Medical Clinic · doing business as

Authorized official

Mr. Daniel R Tasset
Vice Chair, Nuehealth
(913) 387-0510

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1851706493

Fulton Medical Center LLC's National Provider Identifier is 1851706493, issued on Jun 23, 2014. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Fulton, MO. The record was last updated on May 20, 2020.