State of Missouri
State of Missouri is a Psychiatric Hospital in Fulton, Missouri. Licensed in Missouri. Registered with an NPI since 2006.
- Licensed in
- MO
- In the registry since
- 2006
Practice location Address checks out
600 E 5th StFulton, MO 65251-1753
Phone: (573) 592-4100
Fax: (573) 592-3100
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric Hospital (primary) | Taxonomy 283Q00000X · Licence EXEMPT (MO) |
|---|
Record details
| NPI number | 1104878792 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | State of Missouri |
| Authorized official | Molly Boeckmann — Director Of Administrative Services · (573) 751-4055 |
| Other names | Fulton State Hospital; Fulton State Hospital |
| NPI enumerated | May 16, 2006 |
| Last updated in NPPES | August 31, 2020 |
| Certification date | August 31, 2020 |
| Mailing address | Po Box 687, Admin-Reimbursement Section, Jefferson City, MO 65102-0687 |