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Organization
HEALTHMONT OF MISSOURI LLC
Active
Organization
HEALTHMONT OF MISSOURI LLC
Active
Other names
Fulton Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GRAVES (CEO)
(573) 642-3376
Entity
Organization
Contact information
Practice address
850 W HOSPITAL DR, SUITE F, FULTON, MO 65251
(573) 642-5338
(573) 642-9224
Mailing address
850 W HOSPITAL DR, SUITE F, FULTON, MO 65251
(573) 642-5338
(573) 642-9224
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/14/2006
Last updated
02/14/2012
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