# JOHN FITZGIBBON MEMORIAL HOSPITAL, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1780077065
- **Legal business name:** JOHN FITZGIBBON MEMORIAL HOSPITAL, INC.
- **Authorized official:** NANCY HARRIS (CFO/COO)
- **Authorized official phone:** (660) 886-7431

## Contact information

- **Practice address:** 2305 SOUTH 65 HIGHWAY, MARSHALL, MO 65340-3702
- **Practice address phone:** (660) 886-8414
- **Practice address fax:** (660) 831-3340
- **Mailing address:** 2305 SOUTH 65 HIGHWAY, MARSHALL, MO 65340-3702
- **Mailing address phone:** (660) 886-7431
- **Mailing address fax:** (660) 886-9001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/11/2015
- **Last updated:** 03/05/2024