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
—
—
Other
Enumeration date
06/14/2006
Last updated
02/14/2012
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