NPIMap

Organization Active NPI

Healthmont of Missouri LLC

  • Psychiatric Hospital Unit
  • Fulton, MO
National Provider Identifier
1306140371
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
HEALTHMONT OF MISSOURI LLC
Doing business as
Callaway Community Hospital
Practice address
10 S Hospital Dr
Fulton, MO 65251-2510
Phone
(573) 642-3376
Fax
(573) 592-6679
NPI assigned
Jan 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Mike Deaton
Title
Cfo
Phone
(573) 592-6521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

10 S Hospital Dr
Fulton, MO 65251-2510

Mailing address

10 S Hospital Dr
Fulton, MO 65251-2510
Phone (573) 642-3376

Other names 1

  • Callaway Community Hospital Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1306140371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 S HOSPITAL DR",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652512510",
            "telephone_number": "573-642-3376",
            "fax_number": "573-592-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 S HOSPITAL DR",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652512510",
            "telephone_number": "573-642-3376",
            "fax_number": "573-592-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHMONT OF MISSOURI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "DEATON",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "573-592-6521",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Callaway Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fulton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.