Organization
JOHN FITZGIBBON MEMORIAL HOSPITAL INC
Active
Other names
Mid Missouri Family Health at Fitzgibbon
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY HARRIS (CFO/COO)
(660) 886-7431
Entity
Organization
Contact information
Practice address
2303 S HIGHWAY 65 STE A, MARSHALL, MO 65340-3735
(660) 831-1175
(660) 831-1195
Mailing address
2305 SOUTH 65 HIGHWAY, MARSHALL, MO 65340-2148
(660) 831-3759
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500080790
—
MO
Enumeration date
02/18/2020
Last updated
06/27/2024
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