Organization
HOSPITAL OF FULTON, INC.
Active
Other names
Parkway Regional Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE HOLTSFORD (AUTHORIZED OFFICIAL)
(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 63160-0985
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
100131
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000065490
BCBS
—
05
—
01022235
—
KY
01
—
254005
BCBS TN
—
05
—
6579
—
TN
01
—
G210
BCBS MI
—
Enumeration date
02/01/2006
Last updated
07/25/2013
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