NPIMap

Organization Active NPI

Fulton County Medical Clinic PC

  • Family Medicine Physician
  • Rochester, IN
National Provider Identifier
1235201807
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FULTON COUNTY MEDICAL CLINIC PC
Practice address
700 Main St
Rochester, IN 46975-1506
Phone
(574) 223-4337
Fax
(574) 223-4375
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Darci Ogle
Title
Office Manager
Phone
(574) 223-4337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

700 Main St
Rochester, IN 46975-1506

Mailing address

700 Main St
Rochester, IN 46975-1506
Phone (574) 223-4337

Other identifiers 1

IdentifierTypeStateIssuer
100386150AMedicaidIN

National Provider Directory

National Provider Directory

Locations

700 Main St
Rochester, IN 46975
Phone (574) 223-4337

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1235201807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MAIN ST",
            "city": "ROCHESTER",
            "state": "IN",
            "postal_code": "469751506",
            "telephone_number": "574-223-4337",
            "fax_number": "574-223-4375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MAIN ST",
            "city": "ROCHESTER",
            "state": "IN",
            "postal_code": "469751506",
            "telephone_number": "574-223-4337",
            "fax_number": "574-223-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON COUNTY MEDICAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "OGLE",
        "authorized_official_first_name": "DARCI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "574-223-4337"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100386150A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.