Organization
JOHN FITZGIBBON MEMORIAL HOSPITAL INC
Active
Organization
JOHN FITZGIBBON MEMORIAL HOSPITAL INC
Active
Parent organization
JOHN FITZGIBBON MEMORIAL HOSPITAL, INC.
Other names
Fitzgibbon Wound Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOHN FITZGIBBON MEMORIAL HOSPITAL, INC.
Authorized official
NANCY HARRIS (CFO/COO)
(660) 886-7231
Entity
Organization
Contact information
Practice address
2305 SOUTH 65 HIGHWAY, MARSHALL, MO 65340-3702
(660) 886-7431
(660) 886-9001
Mailing address
2305 SOUTH 65 HIGHWAY, MARSHALL, MO 65340-3702
(660) 886-7431
(660) 886-9001
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
109128
MO
163WW0000X
Wound Care Registered Nurse
Primary
27-57
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073748786
—
MO
Enumeration date
05/26/2009
Last updated
03/05/2024
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