# JOHN FITZGIBBON MEMORIAL HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JOHN FITZGIBBON MEMORIAL HOSPITAL, INC.
- **Other names:** Pilot Grove Medical Clinic at Fitzgibbon
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1073279873
- **Legal business name:** JOHN FITZGIBBON MEMORIAL HOSPITAL, INC.
- **Authorized official:** NANCY HARRIS (CFO/COO)
- **Authorized official phone:** (660) 886-7431

## Contact information

- **Practice address:** 212 COLLEGE ST, PILOT GROVE, MO 65276-1005
- **Practice address phone:** (660) 831-3728
- **Mailing address:** PO BOX 801303, KANSAS CITY, MO 64180-1303
- **Mailing address phone:** (660) 831-3728
- **Mailing address fax:** (660) 831-3326

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/16/2021
- **Last updated:** 06/19/2024