| NPI | 1164477873 |
|---|---|
| Doing Business As | FULTON STATE HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | MOLLY JANE BOECKMANN Director Of Administrative Services 573-751-4055 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| 152W00000X Optometrist | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-08-28 |