Organization
JOHN FITZGIBBON MEMORIAL HOSPITAL INC
Active
Parent organization
JOHN FITZGIBBON MEMORIAL HOSPITAL, INC.
Other names
Marshall Family Practice
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, BUILDING A, MARSHALL, MO 65340-3702
(660) 886-7800
(660) 831-3328
Mailing address
2305 SOUTH 65 HIGHWAY, BUILDING A, MARSHALL, MO 65340-3702
(660) 886-7800
(660) 831-3328
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093731986
—
MO
01
—
268577
MEDICARE - RHC
MO
05
—
508291606
—
MO
01
—
598987600
MEDICAID - RHC
MO
Enumeration date
07/14/2006
Last updated
03/05/2024
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