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Organization
FULTON MEDICAL CENTER LLC
Active
Organization
FULTON MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL R TASSET (VICE CHAIR, NUEHEALTH)
(913) 387-0510
Entity
Organization
Contact information
Practice address
10 S HOSPITAL DR, FULTON, MO 65251-2510
(573) 642-3376
(573) 642-9830
Mailing address
11221 ROE AVE, SUITE 320, LEAWOOD, KS 66211-1922
(913) 387-0510
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Enumeration date
04/28/2014
Last updated
05/20/2020
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