institution
State Of Missouri
Psychiatric Hospital in Fulton, Missouri
NPI 1104878792

State Of Missouri is a Psychiatric Hospital based in Jefferson City, MO. State Of Missouri practices in Fulton, MO. The NPI Number for State Of Missouri is 1104878792 and holds a License No. EXEMPT (Missouri).

The current practice location address for State Of Missouri is 600 E 5Th St, Fulton, MO and can be reached out via phone at 573-592-4100 and via fax at 573-592-3100.

Location: 600 E 5Th St, Fulton, MO, 65102-0687
institution
Provider Profile Details
NPI Number
1104878792
Provider Name
State Of Missouri
Credential
Provider Entity Type
Organization
Address
600 E 5Th St, Fulton, MO, 65102-0687
Phone Number
573-592-4100
Fax Number
573-592-3100
Provider Enumeration Date
05/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
050490002 05 MO
institution
Provider Business Practice Location Address Details
Address
600 E 5Th St
City
State
Zip
65251-1753
Phone Number
573-592-4100
Fax Number
573-592-3100
person
Provider Business Mailing Address Details
Address
600 E 5Th St
City
State
Zip
65251-1753
Phone Number
573-592-4100
Fax Number
573-592-3100
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
Psychiatric Hospital
Speciality
-
Taxonomy
License No.
EXEMPT (Missouri)
Definition
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.
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