FULTON COUNTY HOSPITAL (NPI# 1871670810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871670810 |
| Entity Type | Organization |
| Organization Name | FULTON COUNTY HOSPITAL |
| Practice Address |
679 North Main Salem AR 72576 |
| Practice Telephone | 8708952691 |
| Practice Fax Number | 8708953306 |
| Mailing Telephone | 8708952691 |
| Mailing Fax Number | 8708953306 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-08-29 |
| Authorized Official Name | MR. FRANK WISE (ADMINISTRATOR) |
| Authorized Official Telephone | 8708952691 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
AR4230 | AR | Transportation Services |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922261890 | Fulton County Hospital | Clinic/Center | 673 North Main St, Salem, AR 72576 | 2008-07-09 |
| 1134204795 | Fulton County Hospital | Emergency Medicine | 679 North Main, Salem, AR 72576 | 2006-10-25 |
| 1336227750 | Fulton County Hospital | General Acute Care Hospital | 679 North Main, Salem, AR 72576 | 2006-11-02 |
| 1841377983 | Fulton County Hospital | Medicare Defined Swing Bed Unit | 679 North Main, Salem, AR 72576-9451 | 2006-11-01 |
| 1578640611 | Fulton County Hospital | General Acute Care Hospital | 679 North Main, Salem, AR 72576 | 2006-11-01 |
| 1427135466 | Fulton County Hospital | General Acute Care Hospital | 679 North Main, Salem, AR 72576 | 2006-11-01 |
| 1225115264 | Fulton County Hospital | Emergency Medicine | 679 North Main, Salem, AR 72576 | 2006-11-01 |
| 1831274612 | Fulton County Hospital | Emergency Medicine | 679 North Main, Salem, AR 72576 | 2006-10-27 |
| 1841375490 | Fulton County Hospital | Ambulance | 679 North Main, Salem, AR 72576 | 2006-10-25 |
| 1265407001 | Fulton County Hospital | General Acute Care Hospital | 679 N Main St, Salem, AR 72576-9451 | 2006-02-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FULTON COUNTY HOSPITAL | 679 N Main St, Salem, AR 72576-9451 |
| Street Address |
679 NORTH MAIN |
| City | SALEM |
| State | AR |
| Zip Code | 72576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134204795 | Fulton County Hospital | Emergency Medicine | 679 North Main, Salem, AR 72576 | 2006-10-25 |
| 1336227750 | Fulton County Hospital | General Acute Care Hospital | 679 North Main, Salem, AR 72576 | 2006-11-02 |
| 1841377983 | Fulton County Hospital | Medicare Defined Swing Bed Unit | 679 North Main, Salem, AR 72576-9451 | 2006-11-01 |
| 1578640611 | Fulton County Hospital | General Acute Care Hospital | 679 North Main, Salem, AR 72576 | 2006-11-01 |
| 1427135466 | Fulton County Hospital | General Acute Care Hospital | 679 North Main, Salem, AR 72576 | 2006-11-01 |
| 1225115264 | Fulton County Hospital | Emergency Medicine | 679 North Main, Salem, AR 72576 | 2006-11-01 |
| 1831274612 | Fulton County Hospital | Emergency Medicine | 679 North Main, Salem, AR 72576 | 2006-10-27 |
| 1841375490 | Fulton County Hospital | Ambulance | 679 North Main, Salem, AR 72576 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476322 | Spring River Therapy | Occupational Therapy Assistant | 1323 Hwy 9 N, Salem, AR 72576 | 2020-01-07 |
| 1326691213 | Tiffany Jean Reed | Occupational Therapy Assistant | 115 Watters Street, Salem, AR 72576 | 2019-07-19 |
| 1821564436 | Bokker Enterprises, Inc. | Community/Behavioral Health | 115 Turner Lane, Ste #2, Salem, AR 72576 | 2018-10-22 |
| 1346790649 | Rebekah Alexander | Social Worker | 684 Highway 62 412, Salem, AR 72576 | 2016-10-11 |
| 1407209075 | Mirenda Martin | Clinical Nurse Specialist | 507 N Main Street, Salem Family Clinic 507 N Main Street, Salem, AR 72576 | 2016-07-19 |
| 1982004362 | Alternative Oppurtunities | Community/Behavioral Health | 684 Sky Vu Shopping Center, Highway 412 West, Salem, AR 72576 | 2014-09-04 |
| 1144465485 | Jennifer Renee Innis | Physical Therapy Assistant | 679 North Main Street, Salem, AR 72576 | 2008-12-15 |
| 1922261890 | Fulton County Hospital | Clinic/Center | 673 North Main St, Salem, AR 72576 | 2008-07-09 |
| 1659573327 | Barbara Scott | Nurse Practitioner | 172 Highway 62 East, Salem, AR 72576 | 2007-06-04 |
| 1609995653 | Watch Care, LLC | Hospice Care, Community Based | 106 West Locust, Salem, AR 72576 | 2007-03-29 |
| Find all providers in zip 72576 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| 1215983804 | Rural Metro of Oregon Inc | Ambulance | 1790 Front St Ne, Salem, OR 97301-0720 | 2006-05-25 |
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| 1285636464 | Marion County Fire District No 1 | Ambulance | 300 Cordon Rd Ne, Salem, OR 97317-5203 | 2005-06-01 |
| 1033112594 | City of Salem | Ambulance | 2742 25th St Se, Salem, OR 97302-1108 | 2005-05-27 |
| Find all providers in SALEM | ||||
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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.