Organization
HOSPITAL OF FULTON INC
Active
Other names
Parkway Regional Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE HOLTSFORD (DIRECTOR, BUSINESS OFFICE SUPPORT)
(615) 465-7466
Entity
Organization
Contact information
Practice address
2000 HOLIDAY LN, FULTON, KY 42041-8468
(270) 472-2522
Mailing address
PO BOX 60985, SAINT LOUIS, MO 63160-0001
(270) 472-2522
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
900017
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000063707
ANTHEM BCBS REF LAB LEGAC
—
Enumeration date
09/19/2007
Last updated
09/19/2007
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