JOHN FITZGIBBON MEMORIAL HOSPITAL, INC. (NPI# 1215059985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215059985 |
| Entity Type | Organization |
| Organization Name | JOHN FITZGIBBON MEMORIAL HOSPITAL, INC. |
| Other Organization Name | FITZGIBBON PROFESSIONAL BUILDING |
| Practice Address |
2305 S Highway 65 Marshall MO 65340-3702 |
| Mailing Address |
2305 South 65 Highway Marshall MO 65340-3702 |
| Practice Telephone | 6608867800 |
| Practice Fax Number | 6608313328 |
| Mailing Telephone | 6608867800 |
| Mailing Fax Number | 6608313328 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2016-01-14 |
| Authorized Official Name | DR. DARIN L HAUG (PRESIDENT & CEO) |
| Authorized Official Telephone | 6608867431 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 598987600 | 05 |
| Other Name | Type Code |
|---|---|
| Fitzgibbon Professional Building | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780131771 | John Fitzgibbon Memorial Hospital, Inc. | Chiropractor | 2305 South 65 Highway Building A, Marshall, MO 65340-3702 | 2016-09-07 |
| 1922032549 | John Fitzgibbon Memorial Hospital, Inc. | Clinic/Center | 815 E. Broadway Street, Brunswick, MO 65236-1468 | 2006-07-10 |
| 1134752140 | John Fitzgibbon Memorial Hospital, Inc. | Clinic/Center | 4 N Jefferson Ave, Marshall, MO 65340-2148 | 2020-02-18 |
| 1780077065 | John Fitzgibbon Memorial Hospital, Inc. | Clinic/Center | 2305 South 65 Highway, Marshall, MO 65340-3702 | 2015-03-11 |
| 1073748786 | John Fitzgibbon Memorial Hospital, Inc. | Registered Nurse | 2305 South 65 Highway, Marshall, MO 65340-3702 | 2009-05-26 |
| 1831351345 | John Fitzgibbon Memorial Hospital, Inc. | Medicare Defined Swing Bed Unit | 2305 South 65 Highway, Marshall, MO 65340-3702 | 2008-06-26 |
| 1316140494 | John Fitzgibbon Memorial Hospital, Inc. | Clinic/Center | 600 W Morrison St, Suite 5, Fayette, MO 65248-1075 | 2007-06-07 |
| 1285779330 | John Fitzgibbon Memorial Hospital, Inc. | Psychiatry & Neurology | 2305 South 65 Highway, Building A, Marshall, MO 65340-3702 | 2007-02-20 |
| 1942220751 | John Fitzgibbon Memorial Hospital, Inc. | Hospice Care, Community Based | 2305 South 65 Highway, Marshall, MO 65340-3702 | 2006-07-21 |
| 1558388173 | John Fitzgibbon Memorial Hospital, Inc. | Clinic/Center | 2305 S 65 Highway, Marshall, MO 65340-3702 | 2006-07-17 |
| Street Address |
2305 S HIGHWAY 65 |
| City | MARSHALL |
| State | MO |
| Zip Code | 65340-3702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053389585 | Ross M. Howitt | Nurse Anesthetist, Certified Registered | 2305 S Highway 65, Marshall, MO 65340-3702 | 2006-03-10 |
| 1013480979 | Angela L Woods | Nurse Practitioner | 2305 S Highway 65, Marshall, MO 65340-3702 | 2019-01-03 |
| 1972026151 | Rebecca Pence | Nurse Practitioner | 2305 S Highway 65, Marshall, MO 65340-3702 | 2017-07-19 |
| 1245596360 | Leslie Renee Hesse | Dietitian, Registered | 2305 S Highway 65, Marshall, MO 65340-3702 | 2012-04-03 |
| 1861608192 | Jason E Gault | Surgery | 2305 S Highway 65, Marshall, MO 65340-3702 | 2007-05-15 |
| 1871643601 | Marshall Radiology Service PC | Radiology | 2305 S Highway 65, Marshall, MO 65340-3702 | 2007-01-12 |
| 1386758654 | John Fitzgibbon Memorial Hospital Inc. | Nurse Anesthetist, Certified Registered | 2305 S Highway 65, Marshall, MO 65340-3702 | 2006-08-17 |
| 1124071329 | Marshall Anesthesiology, LLC | Nurse Anesthetist, Certified Registered | 2305 S Highway 65, Marshall, MO 65340-3702 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791847 | Gerald D Robertson | Chiropractor | 1566 S Odell Ave, Marshall, MO 65340 | 2019-07-15 |
| 1659860765 | William L Pearman | Nurse Practitioner | Marshall Emergency Physicians, 2305 South Highway 65, Marshall, MO 65340 | 2018-05-03 |
| 1992204978 | Susan Elizabeth Lichtenberg | Speech-Language Pathologist | 860 W. Vest St., Marshall, MO 65340 | 2018-02-06 |
| 1568974616 | Falin Kay Larsen | Family Medicine | 2303 Us-65, Marshal, MO 65340 | 2017-10-30 |
| 1881132587 | Dana Zinn | Nurse Practitioner | 1547 Commerce Dr, Marshall, MO 65340 | 2017-02-02 |
| 1760877179 | Lifetime Dental Associates | Dentist | 2301 S. 65 Hwy, Suite 1, Marshall, MO 65340 | 2015-04-02 |
| 1780078949 | Glenda Cervantes | Interpreter | 1324 S Ellswort Ave, Marshall, MO 65340 | 2015-03-26 |
| 1174922173 | Michelle Stockman | Licensed Practical Nurse | 1004 S. Lincoln Ave, Marshall, MO 65340 | 2014-08-15 |
| 1730527722 | Lynn C Evans | Pharmacist | 941 S. Cherokee, Suite 1, Marshall, MO 65340 | 2013-06-12 |
| 1740589753 | Bethany Anne Harris | Social Worker | 1126 E. Hwy Ww, Marshall, MO 65340 | 2011-03-17 |
| Find all providers in zip 65340 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083990808 | Marshall Rural Health Clinic | Clinic/Center | 805 Lindsey St, Marshall, TX 75670-5249 | 2011-10-25 |
| 1902827512 | Missouri Valley Physicians P C | Clinic/Center | 2303 S. Hwy 65, Marshall, MO 65340 | 2006-07-21 |
| 1457325649 | Harrison County Hospital Association | Clinic/Center | 618 S Grove St Ste 100, Marshall, TX 75670-5294 | 2006-02-14 |
| 1144293978 | Harrison County Hospital Association | Clinic/Center | 707 S Grove St, Marshall, TX 75670-5220 | 2006-02-10 |
| 1750361085 | Harrison County Hospital Association | Clinic/Center | 805 Lindsey Dr, Marshall, TX 75670-5271 | 2006-01-20 |
| 1205817319 | Marshall Rural Health Clinic | Clinic/Center | 703 S Washington Ave, Marshall, TX 75670-5337 | 2005-11-07 |
| 1417948290 | North Arkansas Regional Medical Center | Clinic/Center | 211 Airport Road, Marshall, AR 72650 | 2005-11-02 |
| 1437668746 | Jefferson City Medical Group, PC | Clinic/Center | 2303 S Highway 65 Ste A, Marshall, MO 65340-3735 | 2017-09-29 |
| 1609391911 | Access Medical Clinic Arkansas LLC | Clinic/Center | 942 Highway 65 N, Marshall, AR 72650-7772 | 2017-08-08 |
| 1578995528 | Harrison County Hospital Association | Clinic/Center | 304 University Ave, Suite 105, Marshall, TX 75670-5210 | 2013-08-01 |
| Find all providers in MARSHALL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.