Organization
FULTON COUNTY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA HENRY (CFO)
(870) 508-1003
Entity
Organization
Contact information
Practice address
679 NORTH MAIN, SALEM, AR 72576-9451
(870) 895-2691
(870) 895-3306
Mailing address
PO BOX 517, SALEM, AR 72576-0517
(870) 895-2691
(870) 895-2642
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
AR4230
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10035
BLUE CROSS
AR
05
—
102256105
—
AR
Enumeration date
11/01/2006
Last updated
02/06/2024
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