# JOHN FITZGIBBON MEMORIAL HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JOHN FITZGIBBON MEMORIAL HOSPITAL, INC.
- **Other names:** Fitzgibbon Family Health
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1316140494
- **Legal business name:** JOHN FITZGIBBON MEMORIAL HOSPITAL, INC.
- **Authorized official:** NANCY HARRIS (CFO/COO)
- **Authorized official phone:** (660) 886-7231

## Contact information

- **Practice address:** 600 W MORRISON ST, SUITE 5, FAYETTE, MO 65248-1075
- **Practice address phone:** (660) 248-2900
- **Practice address fax:** (660) 248-1544
- **Mailing address:** 2305 S HIGHWAY 65, MARSHALL, MO 65340-3702
- **Mailing address phone:** (660) 886-7431
- **Mailing address fax:** (660) 886-9001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | MO | — |
| 261QR1300X | Rural Health Clinic/Center | 27-56 | MO | Yes |

## Other

- **Enumeration date:** 06/07/2007
- **Last updated:** 03/05/2024