FULTON STATE HOSPITAL
NPI 1023229804
Case Management in Fulton, MO

NPI Status: Active since May 24, 2007

Contact Information

600 E 5TH ST
FULTON, MO
ZIP 65251
Phone: (573) 592-4100

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  • Organization
  • Case Management
  • CLIA Number: 26D0652387
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 09-07-2026

About FULTON STATE HOSPITAL

This page provides the complete NPI Profile along with additional information for Fulton State Hospital, a provider established in Fulton, Missouri operating as a Case Management. The healthcare provider is registered in the NPI registry with number 1023229804 assigned on May 2007. The practitioner's primary taxonomy code is 251B00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Fulton State Hospital. The authorized official of this NPI record is Molly Jane Boeckmann (Director Of Administrative Services)

NPI
1023229804
Provider Legal Name
STATE OF MISSOURI
Other Organization Name
FULTON STATE HOSPITAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
600 E 5TH ST FULTON, MO 65251
Location Phone
(573) 592-4100
Mailing Address
1706 E ELM ST JEFFERSON CITY, MO 65101
Mailing Phone
(573) 751-3398
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-24-2007
Last Update Date
10-20-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Case Management

Taxonomy Code
251B00000X
Type
Agencies
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MOLLY JANE BOECKMANN

Authorized Official Title
DIRECTOR OF ADMINISTRATIVE SERVICES
Authorized Official Phone
(573) 751-4055

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
150490001MEDICAID (05)MO 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
26D0652387
Facility Type
Hospital
Certificate Effective Date
September 08, 2024
Certificate Expiration Date
September 07, 2026
Laboratory Director
ROBERT SEXE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Fulton State Hospital to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for FULTON STATE HOSPITAL

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1023229804, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
2
Doubled → 4
Pos 6
2
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 2 → 4 9 → 18 → 9 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 4 + 3 + 4 + 2 + 1 + 8 + 8 + 0 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1023229804.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychologist
600 E 5TH ST
FULTON, MO 65251
Psychologist
600 E 5TH ST
FULTON, MO 65251
Psychologist
600 E 5TH ST
FULTON, MO 65251
Psychologist
600 E 5TH ST
FULTON, MO 65251
Psychologist
600 E 5TH ST
FULTON, MO 65251
Psychologist
600 E 5TH ST
FULTON, MO 65251
Psychologist
600 E 5TH ST
FULTON, MO 65251
Psychiatry & Neurology (Psychiatry)
600 E 5TH ST, FULTON STATE HOSPITAL
FULTON, MO 65251
Psychiatry & Neurology (Psychiatry)
600 E 5TH ST, FULTON STATE HOSPITAL
FULTON, MO 65251
Psychiatry & Neurology (Psychiatry)
600 E 5TH ST, FULTON STATE HOSPITAL
FULTON, MO 65251
Pharmacist
600 E 5TH ST
FULTON, MO 65251
Psychologist
600 E 5TH ST
FULTON, MO 65251
Psychologist
600 E 5TH ST
FULTON, MO 65251
Psychologist
600 E 5TH ST
FULTON, MO 65251
Social Worker (Clinical)
600 E 5TH ST
FULTON, MO 65251
Psychologist
600 E 5TH ST
FULTON, MO 65251
Psychologist (Clinical)
600 E 5TH ST
FULTON, MO 65251
Psychologist (Clinical)
600 E 5TH ST, MAIL STATION 300
FULTON, MO 65251
Psychologist (Counseling)
600 E 5TH ST
FULTON, MO 65251
Surgery
600 E 5TH ST
FULTON, MO 65251

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023229804, enumerated as an "organization" on May 24, 2007.

The provider is located at 600 E 5TH ST FULTON, MO 65251 and the phone number is (573) 592-4100.

Case Management with taxonomy code 251B00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.