NPIMap

Organization Active NPI

Fulton City School Clinic

  • Public Health or Welfare Agency
  • Fulton, KY
National Provider Identifier
1578817839
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
FULTON CITY SCHOOL CLINIC
Practice address
400 W State Line St
Fulton, KY 42041-1500
Phone
(270) 472-1637
Fax
(270) 472-2277
NPI assigned
Nov 7, 2012
Last updated
Apr 6, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
PURCHASE DISTRICT HEALTH DEPARTMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

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

Authorized official

Name
Mr. Kent Koster
Title
Public Health Director
Phone
(270) 444-9625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU Primary

Addresses

Primary practice location

400 W State Line St
Fulton, KY 42041-1500

Mailing address

916 Kentucky Ave
Paducah, KY 42003-1955
Phone (270) 444-9628

National Provider Directory

National Provider Directory
Tax ID family
Graves County Health Ce32 organizations share this tax ID, including this one
Part of
Graves County Health Ce

Other organizations with this tax ID 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

Locations

400 W State Line St
Fulton, KY 42041
Phone (270) 472-1637

NPI Registry JSON

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522972800000",
    "number": "1578817839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 KENTUCKY AVE",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420031955",
            "telephone_number": "270-444-9628",
            "fax_number": "270-575-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W STATE LINE ST",
            "city": "FULTON",
            "state": "KY",
            "postal_code": "420411500",
            "telephone_number": "270-472-1637",
            "fax_number": "270-472-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON CITY SCHOOL CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PURCHASE DISTRICT HEALTH DEPARTMENT",
        "enumeration_date": "2012-11-07",
        "last_updated": "2018-04-06",
        "status": "A",
        "authorized_official_last_name": "KOSTER",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "PUBLIC HEALTH DIRECTOR",
        "authorized_official_telephone_number": "270-444-9625",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.