JOHN FITZGIBBON MEMORIAL HOSPITAL INC. (NPI# 1730182478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730182478 |
| Entity Type | Organization |
| Organization Name | JOHN FITZGIBBON MEMORIAL HOSPITAL INC. |
| Other Organization Name | FITZGIBBON HOSPITAL |
| Practice Address |
2305 S 65 Highway Marshall MO 65340-3702 |
| Practice Telephone | 6608867431 |
| Practice Fax Number | 6608869001 |
| Mailing Telephone | 6608867431 |
| Mailing Fax Number | 6608869001 |
| Enumeration Date | 2005-05-26 |
| 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 | Y |
| Parent Organization Name | JOHN FITZGIBBON MEMORIAL HOSPITAL INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 27-56 | MO | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 010636405 | 05 | |
| MO | 1730182478 | 05 | |
| KY | 01400779 | 05 | |
| IA | 0900563 | 05 | |
| CO | 95027280 | 05 | |
| CA | XHSP30930 | 05 | |
| AR | 113880105 | 05 | |
| KS | 100100230A | 05 | |
| FL | 097388200 | 05 |
| Other Name | Type Code |
|---|---|
| Fitzgibbon Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952611436 | John Fitzgibbon Memorial Hospital Inc. | Clinic/Center | 420 West Front Street, Slater, MO 65349-1328 | 2010-10-18 |
| 1386758654 | John Fitzgibbon Memorial Hospital Inc. | Nurse Anesthetist, Certified Registered | 2305 S Highway 65, Marshall, MO 65340-3702 | 2006-08-17 |
| 1285650176 | John Fitzgibbon Memorial Hospital Inc. | Clinic/Center | 2305 S 65 Highway, Marshall, MO 65340-3702 | 2006-07-14 |
| Street Address |
2305 S 65 HIGHWAY |
| City | MARSHALL |
| State | MO |
| Zip Code | 65340-3702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558523068 | John Fitzgibbon Memorial Hospital Inc | Psychiatric Unit | 2305 S 65 Highway, Marshall, MO 65340-3702 | 2008-06-26 |
| 1801917539 | John Fitzgibbon Memorial Hospital, Inc | Hospitalist | 2305 S 65 Highway, Marshall, MO 65340-3702 | 2007-04-02 |
| 1760402572 | John Fitzgibbon Memorial Hospital Inc | Home Health | 2305 S 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 |
| 1285650176 | John Fitzgibbon Memorial Hospital Inc. | Clinic/Center | 2305 S 65 Highway, Marshall, MO 65340-3702 | 2006-07-14 |
| 1356307805 | Stacey Lynn Hostetter | Dietitian, Registered | 2305 S 65 Highway, Marshall, MO 65340 | 2006-04-25 |
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861475360 | Ella E. M. Brown Charitable Circle | General Acute Care Hospital | 200 N Madison St, Marshall, MI 49068-1143 | 2005-11-29 |
| 1285280057 | Christus Good Shepherd Medical Center | General Acute Care Hospital | 811 S Washington Ave, Marshall, TX 75670-5336 | 2019-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295274256 | St. Lukes Health System | General Acute Care Hospital | 8101 N Lawndale Ave, Unit 2a, Kansas City, MO 64119-7808 | 2017-02-22 |
| 1093265159 | Missouri Delta Medical Center | General Acute Care Hospital | 2856 Vista Ridge Pl, Jackson, MO 63755-8105 | 2016-10-12 |
| 1285082040 | Jessica Teschner | General Acute Care Hospital | 3201 Ballard Mill Dr, Columbia, MO 65203-1875 | 2016-06-01 |
| 1912368002 | Emily Daniels | General Acute Care Hospital | 1737 Redbird Cv, Saint Louis, MO 63144-1610 | 2016-03-16 |
| 1225415417 | Parkland Veterinary Services, Inc. | General Acute Care Hospital | 615 E Karsch Blvd, Farmington, MO 63640-1225 | 2015-04-27 |
| 1841698164 | Mercy Clinic East Community | General Acute Care Hospital | 1021 Darwick Ct, Saint Louis, MO 63132-2909 | 2014-12-18 |
| 1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
| 1730528662 | Barnes Jewish Hospital | General Acute Care Hospital | 4512 Cleveland Ave, Apt 12, Saint Louis, MO 63110-3318 | 2013-06-25 |
| 1366796757 | Barnes Jewish Hospital | General Acute Care Hospital | 2180 Splendor Dr, Florissant, MO 63031-2640 | 2012-11-06 |
| 1952651341 | Faisal Alasmari | General Acute Care Hospital | 13928 Reflection Drive, Reflection Cove Apartments, Apt#235, Ballwin, MO 63021 | 2012-09-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JOHN FITZGIBBON MEMORIAL HOSPITAL INC..
| 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.