Fulton State Hospital

LBN: St Of Mo Fulton St Hosp
Fulton State Hospital is an health care organization with primary practice located at 600 E 5Th St , Fulton MO 65251-1753. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Institutional Pharmacy is the primary health care specialty. St Of Mo Fulton St Hosp can be contacted via phone (573) 592-3062, or through Boeckmann, Molly Jane via phone (573) 751-4055.

Contact Information

Primary practice address
600 E 5Th St Fulton MO 65251-1753
Phone: (573) 592-3062
Fax: (573) 592-3070
Website:
Map and Directions
Authorized official contact:
Name: Boeckmann, Molly Jane
Phone: (573) 751-4055

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Institutional Pharmacy 3336I0012X 001897 Missouri
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1326187212
LBN Legal business name St Of Mo Fulton St Hosp
DBA Doing business as Fulton State Hospital
Authorized official Boeckmann, Molly Jane
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2007
Last updated Aug 31st, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326187212 NPPES
Other 2049691 PK

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