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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000063707OtherANTHEM BCBS REF LAB LEGAC

Other names

  • Parkway Regional Hospital Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 19, 2007.

{
    "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

All providers in Fulton, KY · Clinical Medical Laboratory in Kentucky

Sources for this page

Verify at the official NPI Registry.