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Organization

JOHN FITZGIBBON MEMORIAL HOSPITAL INC

Active
Other names
Fitzgibbon Anesthesia Group
Organization subpart
No

Provider details

NPI number
Authorized official
NANCY HARRIS (CFO/COO)
(660) 886-7231
Entity
Organization

Contact information

Practice address
2305 S HIGHWAY 65, MARSHALL, MO 65340-3702
(660) 886-7431
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3620

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00617033
BLUE CROSS OF KANSAS CITY
MO
01
215045
BLUE CROSS OF MO-FEDERAL
MO
05
501547608
MO
Enumeration date
08/17/2006
Last updated
03/05/2024
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