Hospital of Fulton Inc
Organization Active NPI Clinical Medical Laboratory · Fulton, KY
NPI 1104012541 · NPPES record last updated Sep 19, 2007
Key facts
- NPI
- 1104012541
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- License
- 900017 (KY)
- Legal business name
- HOSPITAL OF FULTON INC
- Practice address
- 2000 Holiday LN
Fulton, KY 42041-8468 - Phone
- (270) 472-2522
- NPI assigned
- Sep 19, 2007
- Organization subpart
- No
Authorized official
- Name
- Laurie Holtsford
- Title
- Director, Business Office Support
- Phone
- (615) 465-7466
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 900017 | KY | Yes |
Addresses
Primary practice location
2000 Holiday LN
Fulton, KY 42041-8468
Mailing address
PO Box 60985
Saint Louis, MO 63160-0001
Phone (270) 472-2522
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000063707 | Other | ANTHEM BCBS REF LAB LEGAC |
Other names
- Parkway Regional Hospital
NPI Registry JSON
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190160000000",
"number": "1104012541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60985",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631600001",
"telephone_number": "270-472-2522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 HOLIDAY LN",
"city": "FULTON",
"state": "KY",
"postal_code": "420418468",
"telephone_number": "270-472-2522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPITAL OF FULTON INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-19",
"last_updated": "2007-09-19",
"status": "A",
"authorized_official_last_name": "HOLTSFORD",
"authorized_official_first_name": "LAURIE",
"authorized_official_title_or_position": "DIRECTOR, BUSINESS OFFICE SUPPORT",
"authorized_official_telephone_number": "615-465-7466"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "KY",
"license": "900017",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS REF LAB LEGAC",
"identifier": "000000063707",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Parkway Regional Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fulton, KY
- Fulton Investors, LLC
- Fulton Nursing and Rehabilitation LLC
- Sondra Gibbs
- Allen Christopher Gooch
- Leonard John Hohlbein
- Hospital of Fulton Inc
- Hospital of Fulton Inc
- Hospital of Fulton, Inc.
- Hospital of Fulton, Inc.
- Darla Jill Jackson
All providers in Fulton, KY · Clinical Medical Laboratory in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.