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FULTON STATE HOSPITAL
NPI 1104878792
Psychiatric Hospital in Fulton, MO

Active since May 16, 2006
600 E 5TH ST, FULTON, MO 65251(573) 592-4100(573) 592-3100 Get Directions Write a Review

NPPES record last updated: August 31, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 31, 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 1104878792) is a healthcare organization registered as a psychiatric hospital in Fulton, Missouri and active in the NPI registry since May 2006. The organization lists Molly Jane Boeckmann, Director Of Administrative Services, as its authorized official.

NPPES Registry Identity

NPI1104878792
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameSTATE OF MISSOURI
Location Address600 E 5TH STFulton, MO 65251-1753
Mailing AddressPo Box 687, Admin-reimbursement SectionJefferson City, MO 65102-0687 · (573) 751-3398 · Fax (573) 526-4560
Phone(573) 592-4100
Fax(573) 592-3100
Organization SubpartYes
Authorized OfficialMolly Jane BoeckmannDirector Of Administrative Services · (573) 751-4055
Enumeration DateMay 16, 2006
Last NPPES UpdateAugust 31, 20202 updates tracked since enumeration
NPPES CertifiedAugust 31, 2020
✔ NPI 1104878792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
License✔ Licensed in MO · EXEMPT
Definition
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.
600 E 5TH ST, Fulton, MO 65251
Open in Google Maps ↗

Other Names 1

Doing Business AsFulton State Hospital

Other Identifiers 1

Medicaid050490002MO

Hospital Quality Ratings CMS Care Compare

Quality and patient-experience ratings for Center For Behavioral Medicine (CMS certification number 264004), from CMS Care Compare.

Center For Behavioral Medicine

Psychiatric · Fulton, MO
OwnershipGovernment - State
CMS Certification Number264004
Location600 East 5th StreetFulton, MO 65251 · Callaway County · (573) 592-4100

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.

STATE OF MISSOURI
Case Management
600 E 5TH ST
FULTON, MO 65251
Callaway County (573) 592-4100
BRYAN ZOLNIKOV PH.D.
Psychologist
600 E 5TH ST
FULTON, MO 65251
Callaway County (573) 592-2623
ERIC MARTIN PH.D.
Psychologist
600 E 5TH ST
FULTON, MO 65251
Callaway County (573) 592-2623
DR. ROBERT B SEXE M.D.
Surgery
600 E 5TH ST
FULTON, MO 65251
Callaway County (573) 592-2793
DR. SHARON ROBBINS PH.D.
Psychologist
600 E 5TH ST
FULTON, MO 65251
Callaway County (573) 592-3365
STATE OF MISSOURI
Psychiatry & Neurology (Psychiatry)
600 E 5TH ST
FULTON, MO 65251
Callaway County (573) 592-4100
ANDREW WHITE DNP, FNP-C
Nurse Practitioner (Family)
600 E 5TH ST
FULTON, MO 65251
Callaway County (573) 592-2765
KIRSTEN DEMING HUNTER
Psychologist (Clinical)
600 E 5TH ST
FULTON, MO 65251
Callaway County (573) 592-2623

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 1104878792. It was assigned to this organization in the NPPES registry on May 16, 2006. 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 Psychiatric Hospital with taxonomy code 283Q00000X.

Is State Of Missouri a Medicare-certified hospital?

Yes. Center For Behavioral Medicine is a Medicare-certified hospital (Psychiatric).

When was this NPI record last updated?

The NPPES record for State Of Missouri was last updated on August 31, 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.