Organization
JOHN FITZGIBBON MEMORIAL HOSPITAL INC
Active
Organization
JOHN FITZGIBBON MEMORIAL HOSPITAL INC
Active
Parent organization
JOHN FITZGIBBON MEMORIAL HOSPITAL, INC
Other names
Fitzgibbon Mental Health
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
Mailing address
2305 SOUTH 65 HIGHWAY, BUILDING A, MARSHALL, MO 65340-3702
(660) 886-7800
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
27-57
MO
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285779330
—
MO
01
—
268577
MEDICARE
MO
Enumeration date
02/20/2007
Last updated
03/05/2024
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