Organization · Type 2 NPI

State of Missouri

Psychiatric Hospital · Fulton, MO

NPI number 1104878792 Active

Practice location

600 E 5th St
Fulton, MO 65251-1753

Call (573) 592-4100 Map

Fax (573) 592-3100

Mailing address

PO Box 687, Admin-Reimbursement Section
Jefferson City, MO 65102-0687

Specialties and licenses

TaxonomyCodeLicense
Psychiatric Hospital Primary 283Q00000XEXEMPT (MO)

Psychiatric Hospital: An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

53 other providers at this address

About NPI 1104878792

State of Missouri's National Provider Identifier is 1104878792, issued on May 16, 2006. The primary taxonomy on file is Psychiatric Hospital (283Q00000X), and the practice location is in Fulton, MO. The record was last updated on Aug 31, 2020.