Organization
JOHN FITZGIBBON MEMORIAL HOSPITAL, INC.
Active
Parent organization
JOHN FITZGIBBON MEMORIAL HOSPITAL, INC.
Other names
Grand River Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOHN FITZGIBBON MEMORIAL HOSPITAL, INC.
Authorized official
NANCY HARRIS (CFO/COO)
(660) 886-7431
Entity
Organization
Contact information
Practice address
815 E. BROADWAY STREET, BRUNSWICK, MO 65236-1468
(660) 886-7431
(660) 831-3328
Mailing address
2305 SOUTH 65 HIGHWAY, MARSHALL, MO 65340-3702
(660) 548-3161
(660) 584-3096
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
598917607
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
508292604
—
MO
05
—
598917607
—
MO
Enumeration date
07/10/2006
Last updated
03/05/2024
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