# FULTON MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417367665
- **Authorized official:** MR. DANIEL R TASSET (CEO, NUEHEALTH)
- **Authorized official phone:** (913) 387-0510

## Contact information

- **Practice address:** 10 S HOSPITAL DR, FULTON, MO 65251-2510
- **Practice address phone:** (573) 642-3376
- **Practice address fax:** (573) 642-9830
- **Mailing address:** 11221 ROE AVE, SUITE 320, LEAWOOD, KS 66211-1922
- **Mailing address phone:** (913) 387-0510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 04/28/2014
- **Last updated:** 05/20/2020