Hospital of Fulton Inc

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

900016 Issued in KY

Legal business name

HOSPITAL OF FULTON INC

Doing business as

Clinton Hickman Medical Center

Practice address

106 W Clay St
Clinton, KY 42031-1317

Phone

(270) 653-6277

Fax

(270) 653-4097

NPI assigned

Mar 9, 2006

Last updated

Aug 7, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

HOSPITAL OF FULTON INCAs reported in NPPES

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

Authorized official

Name

Laurie Holtsford

Title

Auth Official/Dir Business Office

Phone

(615) 465-7466

Specialties & licenses 1

Addresses

Other names 1

• Clinton Hickman Medical Center Doing business as

Part of

Clinton Hickman Co Med

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375833600000",
    "number": "1396713079",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W CLAY ST",
            "city": "CLINTON",
            "state": "KY",
            "postal_code": "420311317",
            "telephone_number": "270-653-6277",
            "fax_number": "270-653-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL OF FULTON INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOSPITAL OF FULTON INC",
        "enumeration_date": "2006-03-09",
        "last_updated": "2013-08-07",
        "status": "A",
        "authorized_official_last_name": "HOLTSFORD",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "AUTH OFFICIAL/DIR BUSINESS OFFICE",
        "authorized_official_telephone_number": "615-465-7466"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "KY",
            "license": "900016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinton Hickman Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephannie Lorene Goodrum, APRN
• Whitney Nicole Gordon
• Gretchen Anne Hayden, DOCTOR OF PHARMACY
• Hickman County Board of Education
• Hickman County High School Clinic
• Hospital of Fulton Inc (Clinton-Hickman County Medical Clinic)
• Jo-Ann N. Bolli, M. D., P.S.C.
• Jennifer Marie McDowell, ANP
• Tasha K Neill, LMT
• Pinelake Physician Practice LLC (Jackson Purchase Primary Care - Clinton Clinic)

• Rural Health Clinic/Center in Clinton, KY
• Providers in Clinton, KY by specialty
• Rural Health Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.