FULTON STATE HOSPITAL
NPI 1023229804
Case Management in Fulton, MO
About Fulton State Hospital NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FULTON STATE HOSPITAL (NPI 1023229804) is a healthcare organization registered as a case management in Fulton, Missouri and active in the NPI registry since May 2007. The organization holds 2 active CLIA laboratory certificates and lists Molly Jane Boeckmann, Director Of Administrative Services, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
CLIA Laboratory Certificates CMS CLIA 2
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 of Accreditation 26D2050150
Fulton State Hospital Pharmacy · Fulton, MOCertificate of Waiver 26D0652387
Fulton State Hospital · Fulton, MOOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 State Of Missouri's NPI number?
The NPI number for State Of Missouri is 1023229804. It was assigned to this organization in the NPPES registry on May 24, 2007. The provider is doing business as Fulton State Hospital.
Where is State Of Missouri located?
State Of Missouri is located at 600 E 5th St, Fulton, MO 65251. The listed phone number is (573) 592-4100.
What is State Of Missouri's specialty?
The primary specialty registered for this NPI is Case Management with taxonomy code 251B00000X.
Does State Of Missouri hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for State Of Missouri was last updated on October 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.