| Psychiatric Unit | |
|
10 S Hospital Dr Fulton MO 65251-2510 | |
| (573) 642-3376 | |
| (573) 592-6690 |
| Full Name | Psychiatric Unit |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 10 S Hospital Dr, Fulton, Missouri |
| Authorized Official Name and Position | Jeffrey A Stone (INTERIM CEO) |
| Authorized Official Contact | 5736423376 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric Unit 10 S Hospital Dr Fulton MO 65251-2510 Ph: (573) 642-3376 | Psychiatric Unit 10 S Hospital Dr Fulton MO 65251-2510 Ph: (573) 642-3376 |
| NPI Number | 1427661792 |
|---|---|
| Provider Enumeration Date | 08/26/2020 |
| Last Update Date | 06/23/2022 |
| Certification Date | 06/23/2022 |
| Medicare PECOS PAC ID | 5496163065 |
|---|---|
| Medicare Enrollment ID | O20210423000179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427661792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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