Organization
JOHN FITZGIBBON MEMORIAL HOSPITAL INC
Active
Parent organization
JOHN FITZGIBBON MEMORIAL HOSPITAL, INC.
Other names
Pilot Grove Medical Clinic at Fitzgibbon
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOHN FITZGIBBON MEMORIAL HOSPITAL, INC.
Authorized official
NANCY HARRIS (CFO/COO)
(660) 886-7431
Entity
Organization
Contact information
Practice address
212 COLLEGE ST, PILOT GROVE, MO 65276-1005
(660) 831-3728
Mailing address
PO BOX 801303, KANSAS CITY, MO 64180-1303
(660) 831-3728
(660) 831-3326
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268790
—
MO
Enumeration date
11/16/2021
Last updated
06/19/2024
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