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Contact Information

ST OF MO FULTON ST HOSP
600 E 5TH ST
FULTON, MO65251-1753
 Phone: 573-592-3062
 Fax: 573-592-3070
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ST OF MO FULTON ST HOSP

NPI # 1326187212
LBN Legal business name ST OF MO FULTON ST HOSP
Authorized official MOLLY BOECKMANN - (DIRECTOR OF ADMINISTRATIVE SERVICES)
Entity Organization
Organization subpart 1 No
Enumeration date 02/06/2007
Last updated 08/31/2020 - About 6 years ago
Identifiers
MO License # 001897
Other 2049691 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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