Organization Active NPI

Fulton County Partnership

  • General Practice Dentistry
  • McConnellsburg, PA
National Provider Identifier
1508887712
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FULTON COUNTY PARTNERSHIP
Practice address
22438 Great Cove Rd
Suite 102
MC Connellsburg, PA 17233-8367
Phone
(717) 485-3079
Fax
(717) 485-4505
NPI assigned
Jul 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Patricia Marie Rhodes, DENTAL ASSISTANT
Title
Clinic Coordinator
Phone
(717) 485-3079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X PA Primary

Addresses

Primary practice location

22438 Great Cove Rd
Suite 102
MC Connellsburg, PA 17233-8367

Mailing address

22438 Great Cove Rd
Suite 102
MC Connellsburg, PA 17233-8367
Phone (717) 485-3079

Other identifiers 1

IdentifierTypeStateIssuer
0017333900002MedicaidPA

National Provider Directory

National Provider Directory

Locations

22438 Great Cove Rd
Ste 102
Mc Connellsburg, PA 17233
Phone (717) 485-3079

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508887712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22438 GREAT COVE RD",
            "address_2": "SUITE 102",
            "city": "MC CONNELLSBURG",
            "state": "PA",
            "postal_code": "172338367",
            "telephone_number": "717-485-3079",
            "fax_number": "717-485-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22438 GREAT COVE RD",
            "address_2": "SUITE 102",
            "city": "MC CONNELLSBURG",
            "state": "PA",
            "postal_code": "172338367",
            "telephone_number": "717-485-3079",
            "fax_number": "717-485-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON COUNTY PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RHODES",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINIC COORDINATOR",
        "authorized_official_telephone_number": "717-485-3079",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DENTAL ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017333900002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McConnellsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.