Active NPI
Noble Health Fulton Inc
Doing business as Platinum Health Systems Callaway
- Psychiatric Hospital Unit
- Fulton, MO
National Provider Identifier
1427661792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital Unit
- Legal business name
- NOBLE HEALTH FULTON INC
- Doing business as
- Platinum Health Systems Callaway
- Practice address
- 10 S Hospital Dr
Fulton, MO 65251-2510 - Phone
- (573) 642-3376
- Fax
- (573) 592-6690
- NPI assigned
- Aug 26, 2020
- Last updated
- Jun 23, 2022
- Organization subpart
- Yes
- Parent organization
- NOBLE HEALTH FULTON INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey A Stone
- Title
- Interim Ceo
- Phone
- (573) 642-3376
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | NU | 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 2
- Platinum Health Systems Callaway
- Psychiatric Unit
National Provider Directory
National Provider Directory- Part of
- Noble Health Fulton Inc
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
dba Platinum Health Systems Callaway
- General Acute Care Hospital
- Fulton, MO
- NPI 1053933457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655942400000",
"number": "1427661792",
"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"
},
{
"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": "573-592-6690"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOBLE HEALTH FULTON INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NOBLE HEALTH FULTON INC",
"enumeration_date": "2020-08-26",
"last_updated": "2022-06-23",
"certification_date": "2022-06-23",
"status": "A",
"authorized_official_last_name": "STONE",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "INTERIM CEO",
"authorized_official_telephone_number": "573-642-3376"
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Platinum Health Systems Callaway",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Psychiatric Unit",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Fulton, MO
- Kelly L Nickelson, PHYSICAL THERAPIST
- Noble Health Fulton Inc (Callaway Specialty Clinic)
- Noble Health Fulton Inc (Platinum Health Systems Callaway)
- Noble Health Fulton Inc (Platinum Health Systems Callaway)
- Noble Health Fulton Inc (Platinum Health Systems Callaway)
- Noble Health Fulton Inc (Callaway Rural Health Clinic)
- Megan O'Grady, PSYD
- Gina M Oliver, FNP-BC
- Richard M Omohundro, D.D.S.
- Katherine Louise Osborn, OD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.