HOSPITAL OF FULTON INC (NPI# 1396713079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396713079 |
| Entity Type | Organization |
| Organization Name | HOSPITAL OF FULTON INC |
| Other Organization Name | CLINTON HICKMAN MEDICAL CENTER |
| Practice Address |
106 W Clay St Clinton KY 42031-1317 |
| Mailing Address |
Po Box 60985 Saint Louis MO 63160-0001 |
| Practice Telephone | 2706536277 |
| Practice Fax Number | 2706534097 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2013-08-07 |
| Authorized Official Name | LAURIE HOLTSFORD (AUTH OFFICIAL/DIR BUSINESS OFFICE) |
| Authorized Official Telephone | 6154657466 |
| Is Organization Subpart | Y |
| Parent Organization Name | HOSPITAL OF FULTON INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
900016 | KY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Clinton Hickman Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437109923 | Hospital of Fulton Inc | Clinic/Center | 351 Moss Dr, Clinton, KY 42031-1321 | 2006-05-12 |
| 1104012541 | Hospital of Fulton Inc | Clinical Medical Laboratory | 2000 Holiday Ln, Fulton, KY 42041-8468 | 2007-09-19 |
| 1669696969 | Hospital of Fulton Inc | Internal Medicine | 2003 S 7th St, Hickman, KY 42050-1841 | 2007-04-11 |
| 1922100122 | Hospital of Fulton Inc | Clinic/Center | 2006 Holiday Ln, Suite 100, Fulton, KY 42041-8468 | 2006-09-01 |
| 1902874910 | Hospital of Fulton Inc | Clinic/Center | 2006 Holiday Ln, Suite 100, Fulton, KY 42041-8468 | 2006-03-08 |
| Street Address |
106 W CLAY ST |
| City | CLINTON |
| State | KY |
| Zip Code | 42031-1317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437614633 | Pinelake Physician Practice LLC | Nurse Practitioner | 106 W Clay St, Clinton, KY 42031-1317 | 2019-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780102301 | Communtiy Healthcare of Western Kentucky LLC | Clinic/Center | 308 South Washington Street Suite 200, Clinton, KY 42031 | 2017-09-04 |
| 1053569442 | Hickman County High School Clinic | Public Health or Welfare | 301 East Cresap Street, Clinton, KY 42031 | 2008-08-28 |
| 1437186657 | Purchase District Health Dept | Public Health or Welfare | 370 S Washington Street, Clinton, KY 42031 | 2006-06-26 |
| 1104800101 | Arbor Place of Clinton | Skilled Nursing Facility | 106 Padgett Drive, Clinton, KY 42031 | 2005-12-02 |
| 1902954118 | Clinton-hickman County Ambulance Service Inc | Ambulance | 324 James H Phillips Dr, Clinton, KY 42031-0083 | 2007-01-07 |
| 1568902427 | Clinton Pharmacy LLC | Pharmacy | 119 E Clay St, Clinton, KY 42031-1222 | 2017-02-26 |
| 1932131356 | Byassee Drug Company Inc | Durable Medical Equipment & Medical Supplies | 107 E Clay St, Clinton, KY 42031-1222 | 2006-07-07 |
| 1174087647 | Clinton Pharmacy LLC | Pharmacy | 119 E Clay St, Clinton, KY 42031-1222 | 2019-01-29 |
| 1205048873 | John Garland Byassee | Pharmacist | 107 E Clay St, Clinton, KY 42031-1222 | 2007-05-04 |
| 1275617755 | Perkins Pharmacy | Durable Medical Equipment & Medical Supplies | 119 E Clay St, Clinton, KY 42031-1222 | 2006-10-24 |
| Find all providers in zip 42031 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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|---|---|---|---|---|
| 1942226212 | Physicians Medical Group Plc | Clinic/Center | 145 Shakerag Rd, Clinton, AR 72031-6678 | 2006-07-13 |
| 1003873266 | Golden Valley Memorial Hospital District | Clinic/Center | 1602 N. 2nd Street, Clinton, MO 64735-3201 | 2006-04-28 |
| 1285286138 | Clinton Hma LLC | Clinic/Center | 209 S 30th St, Clinton, OK 73601-3657 | 2019-07-11 |
| 1386171460 | Clinton Hma LLC | Clinic/Center | 123 S 9th St, Clinton, OK 73601-3328 | 2017-05-19 |
| 1134512395 | Prisma Health-upstate | Clinic/Center | 210 S Broad St, Clinton, SC 29325-2505 | 2015-03-12 |
| 1013245471 | Hope Medical Clinic Inc | Clinic/Center | 145 Shake Rag Rd, Clinton, AR 72031-6682 | 2009-11-24 |
| 1811174402 | City of Clinton | Clinic/Center | 422 W White St, Clinton, IL 61727-2272 | 2008-01-25 |
| 1366504565 | City of Clinton | Clinic/Center | 422 W White St, Clinton, IL 61727-2272 | 2006-12-14 |
| 1265421861 | Conway Regional Medical Center Inc. | Clinic/Center | 2526 Highway 65 S, Suite 203, Clinton, AR 72031-6657 | 2005-10-17 |
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| 1568098838 | Appalachian Regional Healthcare, Inc | Clinic/Center | 186 Breanna Blvd, Suite 100, Salyersville, KY 41465-7525 | 2020-03-19 |
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| 1023649514 | Memorial Hospital Inc | Clinic/Center | 485 Memorial Dr Ste 1, Manchester, KY 40962-9111 | 2020-02-03 |
| 1265072946 | Baptist Health Medical Group Inc | Clinic/Center | 800 Hospital Dr Fl 2, Madisonville, KY 42431-1658 | 2020-01-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.