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FULTON COUNTY MEDICAL CLINIC
NPI 1114254190
Family Medicine in Fulton, IN

Active since November 11, 2009CLIA 15D0358708 · Microscopy
100 E DUNN STREET, FULTON, IN 49631(574) 857-5995(574) 223-5847 Get Directions Write a Review

NPPES record last updated: March 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fulton County Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FULTON COUNTY MEDICAL CLINIC (NPI 1114254190) is a healthcare organization registered as a family medicine in Fulton, Indiana and active in the NPI registry since November 2009. The organization holds a CLIA Microscopy certificate valid through August 24, 2026 and lists John Kraft, Cfo, as its authorized official.

NPPES Registry Identity

NPI1114254190
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWOODLAWN HOSPITAL
Location Address100 E DUNN STREETFulton, IN 49631
Mailing Address1400 E 9th StRochester, IN 46975-8931 · (574) 233-3141 · Fax (574) 223-5847
Phone(574) 857-5995
Fax(574) 223-5847
Organization SubpartYes
Authorized OfficialJohn KraftCfo · (574) 224-1118
Enumeration DateNovember 11, 2009
Last NPPES UpdateMarch 20, 2019
✔ NPI 1114254190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
100 E DUNN STREET, Fulton, IN 49631
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Other Names 1

Doing Business AsFulton County Medical Clinic

Other Identifiers 1

Medicaid100269770DIN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 15D0358708

Fulton County Medical Clinic · Fulton, IN
Active · expires Aug 24, 2026
CLIA Number15D0358708
Laboratory TypePhysician Office
Certificate Effective DateAugust 25, 2024
Certificate Expiration DateAugust 24, 2026
Laboratory DirectorCraig Bugno
Laboratory Phone(574) 857-5995
Laboratory LocationFulton County Medical Clinic100 E Dunn St, Fulton, IN 46931
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Woodlawn Hospital's NPI number?

The NPI number for Woodlawn Hospital is 1114254190. It was assigned to this organization in the NPPES registry on November 11, 2009. The provider is doing business as Fulton County Medical Clinic.

Where is Woodlawn Hospital located?

Woodlawn Hospital is located at 100 E Dunn Street, Fulton, IN 49631. The listed phone number is (574) 857-5995.

What is Woodlawn Hospital's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Woodlawn Hospital hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 15D0358708) is associated with this NPI, valid through August 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Woodlawn Hospital was last updated on March 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.