JOHN FITZGIBBON MEMORIAL HOSPITAL INC NPI 1316140494

NPI Information

NPI: 1316140494
Provider Name: JOHN FITZGIBBON MEMORIAL HOSPITAL INC

Doing Business As: FITZGIBBON FAMILY HEALTH

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

Specialization: Rural Health

Address:
600 W MORRISON ST
SUITE 5
FAYETTE, MO
ZIP 65248
Phone: (660) 248-2900
Get Directions

JOHN FITZGIBBON MEMORIAL HOSPITAL INC is a rural health clinic center in Fayette, MO. JOHN FITZGIBBON MEMORIAL HOSPITAL INC NPI is 1316140494. The provider is registered as an organization entity type.
The provider Is Doing Business As Fitzgibbon Family Health.

The provider's business location address is:

600 W MORRISON ST
SUITE 5
FAYETTE, MO
ZIP 65248-075
Phone: (660) 248-2900
Fax: (660) 248-1544

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 CLIA number assigned to this NPI record is 26D0906532 - rural health clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/7/2007 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	261QP2300X	Clinic/Center	Primary Care		MISSOURI	No
2	261QR1300X	Clinic/Center	Rural Health	27-56	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	503959108	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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »