FULTON STATE HOSPITAL
NPI 1023229804
Case Management in Fulton, MO

Active since May 24, 2007CLIA Certified · 2 labs
600 E 5TH ST, FULTON, MO 65251(573) 592-4100 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 20, 2020, Aug 26, 2019 (2 updates tracked since 2019).

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

NPI1023229804
Entity TypeOrganization
Primary Taxonomy251B00000X
Legal Business NameSTATE OF MISSOURI
Location Address600 E 5TH STFulton, MO 65251-1753
Mailing Address1706 E Elm StJefferson City, MO 65101-4130 · (573) 751-3398 · Fax (573) 526-4560
Organization SubpartYes
Authorized OfficialMolly Jane BoeckmannDirector Of Administrative Services · (573) 751-4055
Enumeration DateMay 24, 2007
Last NPPES UpdateOctober 20, 20202 updates tracked since enumeration
NPPES CertifiedOctober 20, 2020
NPI 1023229804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCase ManagementAgencies
Taxonomy Code251B00000X
Definition
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
600 E 5TH ST, Fulton, MO 65251

Other Names 1

Doing Business AsFulton State Hospital

Other Identifiers 1

Medicaid150490001MO

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, MO
Active · expires May 7, 2027
CLIA Number26D2050150
Laboratory TypeDept Of Mental Health In
Certificate Effective DateMay 8, 2025
Certificate Expiration DateMay 7, 2027
Laboratory DirectorMary S. Hubbard
Laboratory Phone(573) 592-4100
Laboratory LocationFulton State Hospital Pharmacy600 East 5th Street, Fulton, MO 65251
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 26D0652387

Fulton State Hospital · Fulton, MO
Active · expires Sep 7, 2026
CLIA Number26D0652387
Laboratory TypeHospital
Certificate Effective DateSeptember 8, 2024
Certificate Expiration DateSeptember 7, 2026
Laboratory DirectorRobert Sexe
Laboratory Phone(573) 592-2222
Laboratory LocationFulton State Hospital600 E 5th Street, Fulton, MO 65251
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
600 E 5TH ST
FULTON, MO 65251
Psychologist
600 E 5TH ST
FULTON, MO 65251
Psychiatric Hospital
600 E 5TH ST
FULTON, MO 65251
Surgery
600 E 5TH ST
FULTON, MO 65251
Psychologist
600 E 5TH ST
FULTON, MO 65251
Psychiatry & Neurology (Psychiatry)
600 E 5TH ST
FULTON, MO 65251
Nurse Practitioner (Family)
600 E 5TH ST
FULTON, MO 65251
Psychologist (Clinical)
600 E 5TH ST
FULTON, MO 65251

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.