JOHN FITZGIBBON MEMORIAL HOSPITAL INC NPI 1134752140

NPI Information

NPI: 1134752140
Provider Name: JOHN FITZGIBBON MEMORIAL HOSPITAL INC

Doing Business As: MID MISSOURI FAMILY HEALTH AT FITZGIBBON

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
4 N JEFFERSON AVE
MARSHALL, MO
ZIP 65340
Phone: (660) 831-1175
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JOHN FITZGIBBON MEMORIAL HOSPITAL INC is a rural health clinic center in Marshall, MO. JOHN FITZGIBBON MEMORIAL HOSPITAL INC NPI is 1134752140. The provider is registered as an organization entity type.
The provider Is Doing Business As Mid Missouri Family Health At Fitzgibbon.

The provider's business location address is:

4 N JEFFERSON AVE
MARSHALL, MO
ZIP 65340-148
Phone: (660) 831-1175
Fax: (660) 831-1195

The provider's authorized official is Nancy Harris .
The authorized official title is Cfo/coo and has the following contact phone number (660) 886-7431.

The enumeration date for this NPI number is 2/18/2020 and was last updated on 3/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261Q00000X	Clinic/Center				No
2	261QR1300X	Clinic/Center	Rural Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500080790	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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