FULTON STATE HOSPITAL
NPI 1104878792
Psychiatric Hospital in Fulton, MO
NPI Status: Active since May 16, 2006
Contact Information
600 E 5TH ST
FULTON, MO
ZIP 65251
Phone: (573) 592-4100
Fax: (573) 592-3100
- Organization
- Psychiatric Hospital
- CLIA Number: 26D0652387
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 09-07-2026
About FULTON STATE HOSPITAL
Fulton State Hospital is a hospital serving the Fulton, Missouri region. The facility is a psychiatric hospital. The NPI number of this hospital is 1104878792 assigned on May 2006. The hospital's primary taxonomy code is 283Q00000X with license number EXEMPT (MO). 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
- 1104878792
- 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
- Location Fax
- (573) 592-3100
- Mailing Address
- PO BOX 687 ADMIN-REIMBURSEMENT SECTION JEFFERSON CITY, MO 65102
- Mailing Phone
- (573) 751-3398
- Mailing Fax
- (573) 592-3100
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-16-2006
- Last Update Date
- 08-31-2020
- Code Navigator
According to the Hospital Compare program data, Fulton State Hospital doesn't have an overall quality rating because data are shown only for hospitals that participate in the inpatient quality reporting (iqr) and outpatient quality reporting (oqr) programs.
Location Map
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
Psychiatric Hospital
- Taxonomy Code
- 283Q00000X
- Type
- Hospitals
- License No.
- EXEMPT
- License State
- MO
- Taxonomy Description
- An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
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.
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 |
|---|---|---|---|
| 050490002 | MEDICAID (05) | MO |
Hospital Compare Quality Information
Star ratings information gives patients a useful way to compare local hospitals by highlighting important quality factors like readmissions, mortality, safety of care, patient experience and timely and effective care. The ratings are presented as stars, ranging from 1 to 5. A higher number of stars indicates better performance in each quality aspect.
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Overall Quality Rating Not Available - Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.
The overall rating is calculated by taking the weighted average of these group of scores. If a hospital is missing a measure category or group, the weights are redistributed amongst the qualifying measure categories or groups.
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Hospital Type Psychiatric - Government - State
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Emergency Services: No
Shows if the hospital provides emergency services like acute medical care or trauma care.
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Meaningful Use of Electronic Health Records:
Shows if the hospital meets the criteria for promoting interoperability of Electronic Health Record Systems (EHRS).
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 1104878792, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
FULTON, MO 65251
FULTON, MO 65251
FULTON, MO 65251
FULTON, MO 65251
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104878792, enumerated as an "organization" on May 16, 2006.
The provider is located at 600 E 5TH ST FULTON, MO 65251 and the phone number is (573) 592-4100.
Psychiatric Hospital with taxonomy code 283Q00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
