Active NPI
Hospital of Fulton Inc
- Family Medicine Physician
- Hickman, KY
National Provider Identifier
1669696969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HOSPITAL OF FULTON INC
- Practice address
- 2003 S 7TH St
Hickman, KY 42050-1841 - Phone
- (270) 236-3202
- Fax
- (270) 236-9597
- NPI assigned
- Apr 11, 2007
- Organization subpart
- Yes
- Parent organization
- HOSPITAL OF FULTON INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debbie T Brewer, MBA
- Title
- Director
- Phone
- (877) 892-9813
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
2003 S 7TH St
Hickman, KY 42050-1841
Mailing address
PO Box 199
Hickman, KY 42050-0199
Phone (270) 236-3202
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35001387 | Medicaid | KY |
Other names 1
- Hickman Fulton County Medical Center
National Provider Directory
National Provider Directory- Part of
- Clinton Hick Co Med CL
Locations
2003 S 7th St
Hickman, KY 42050
Phone (270) 236-3202
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206576000000",
"number": "1669696969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 199",
"city": "HICKMAN",
"state": "KY",
"postal_code": "420500199",
"telephone_number": "270-236-3202",
"fax_number": "270-236-9597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2003 S 7TH ST",
"city": "HICKMAN",
"state": "KY",
"postal_code": "420501841",
"telephone_number": "270-236-3202",
"fax_number": "270-236-9597"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPITAL OF FULTON INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HOSPITAL OF FULTON INC",
"enumeration_date": "2007-04-11",
"last_updated": "2008-03-27",
"status": "A",
"authorized_official_last_name": "BREWER",
"authorized_official_first_name": "DEBBIE",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "877-892-9813",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "35001387",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hickman Fulton County Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Hickman, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.