# FMC MEDICAL FOUNDATION, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Medicine Center on Coulter
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649205972
- **Authorized official:** STEFANIE FEEMSTER (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (806) 350-7325

## Contact information

- **Practice address:** 1500 S. COULTER, SUITE 6, AMARILLO, TX 79106-1790
- **Practice address phone:** (806) 467-9777
- **Practice address fax:** (806) 467-9799
- **Mailing address:** 1500 S. COULTER, SUITE 6, AMARILLO, TX 79106-1790
- **Mailing address phone:** (806) 467-9777
- **Mailing address fax:** (806) 467-9799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/12/2006
- **Last updated:** 05/03/2022