Active NPI
Fulton County Partnership
- General Practice Dentistry
- McConnellsburg, PA
National Provider Identifier
1508887712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0017333900002 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
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.