Organization · Type 2 NPI

Hospital of Fulton, Inc.

Rural Health Clinic/Center · Hickman, KY

NPI number 1245208875 Active

Practice location

2003 S 7th St
Hickman, KY 42050-1841

Call (270) 236-3202 Map

Fax (270) 236-9597

Mailing address

PO Box 60985
St. Louis, MO 63160-0985

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Rural Health Clinic/Center Primary	261QR1300X	900142 (KY)
Nurse Practitioner	363L00000X	None listed
Certified Registered Nurse Anesthetist	367500000X	None listed

Rural Health Clinic/Center: Definition to come...

8 other providers at this address

Hospital of Fulton IncFamily Medicine Physician Hickman, KY NPI 1669696969
Parkway Regional Medical Clinic, IncRural Health Clinic/Center Hickman, KY NPI 1043603137
Pinelake Physician Practice LLCRural Health Clinic/Center Hickman, KY NPI 1205494085
Allie Alexander-Lusk, APRNFamily Nurse Practitioner Hickman, KY NPI 1831139054
Ashok Kumar Reddy Chada, MDFamily Medicine Physician Hickman, KY NPI 1659504413
Brandi L. Stacy, APRNNurse Practitioner Hickman, KY NPI 1760722144
Christy Byassee, APRN, FNP-CFamily Nurse Practitioner Hickman, KY NPI 1477120129
Daisy May Gamotin Benigno, MDFamily Medicine Physician Hickman, KY NPI 1528228046

Other rural health clinic/center providers in Hickman

See all in Hickman →

NPI record

NPI: 1245208875
Entity type: Organization (Type 2)
Issued: Mar 9, 2006
Last updated: Oct 19, 2010
Status: Active
Subpart: Yes of Hospital of Fulton, Inc.

Other names

<unavail>
Hickman-Fulton County Medical Clinic · doing business as

Authorized official

Laurie Holtsford
Auth Off / Dir Business of Fice Sup
(615) 465-7466

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1245208875

Hospital of Fulton, Inc.'s National Provider Identifier is 1245208875, issued on Mar 9, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Hickman, KY. The record was last updated on Oct 19, 2010.