JOHN FITZGIBBON MEMORIAL HOSPITAL INC NPI 1073748786

NPI Information

NPI: 1073748786
Provider Name: JOHN FITZGIBBON MEMORIAL HOSPITAL INC

Doing Business As: FITZGIBBON WOUND CARE

Classification: Registered Nurse - 163WW0000X
Entity Type: Organization

Specialization: Wound Care

Address:
2305 SOUTH 65 HIGHWAY
MARSHALL, MO
ZIP 65340
Phone: (660) 886-7431
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JOHN FITZGIBBON MEMORIAL HOSPITAL INC is a wound care registered nurse in Marshall, MO. JOHN FITZGIBBON MEMORIAL HOSPITAL INC NPI is 1073748786. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Fitzgibbon Wound Care.

The provider's business location address is:

2305 SOUTH 65 HIGHWAY
MARSHALL, MO
ZIP 65340-702
Phone: (660) 886-7431
Fax: (660) 886-9001

The provider's authorized official is Nancy Harris .
The authorized official title is Cfo/coo and has the following contact phone number (660) 886-7231.

The enumeration date for this NPI number is 5/26/2009 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	163WW0000X	Registered Nurse	Wound Care	109128	MISSOURI	No
2	163WW0000X	Registered Nurse	Wound Care	27-57	MISSOURI	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	1073748786	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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