JOHN FITZGIBBON MEMORIAL HOSPITAL, INC. (NPI# 1942220751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942220751 |
| Entity Type | Organization |
| Organization Name | JOHN FITZGIBBON MEMORIAL HOSPITAL, INC. |
| Other Organization Name | FITZGIBBON-MARY MONTGOMERY HOSPICE |
| Practice Address |
2305 South 65 Highway Marshall MO 65340-3702 |
| Practice Telephone | 6608867431 |
| Practice Fax Number | 6608313328 |
| Mailing Telephone | 6608867431 |
| Mailing Fax Number | 6608313328 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2016-02-18 |
| Authorized Official Name | DARIN L HAUG (PRESIDENT & CEO- FITZGIBBON HOSPITA) |
| 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 |
|---|---|---|---|---|---|
| N | 251G00000X | Hospice Care, Community Based | Agencies | ||
| Y | 251G00000X | Hospice Care, Community Based | 27-57 | MO | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 820636405 | 05 | |
| MO | 1942220751 | 05 |
| Other Name | Type Code |
|---|---|
| Fitzgibbon-Mary Montgomery Hospice | 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 |
| 1215059985 | John Fitzgibbon Memorial Hospital, Inc. | Clinic/Center | 2305 S Highway 65, Marshall, MO 65340-3702 | 2007-04-04 |
| 1285779330 | John Fitzgibbon Memorial Hospital, Inc. | Psychiatry & Neurology | 2305 South 65 Highway, Building A, Marshall, MO 65340-3702 | 2007-02-20 |
| 1558388173 | John Fitzgibbon Memorial Hospital, Inc. | Clinic/Center | 2305 S 65 Highway, Marshall, MO 65340-3702 | 2006-07-17 |
| Street Address |
2305 SOUTH 65 HIGHWAY |
| City | MARSHALL |
| State | MO |
| Zip Code | 65340-3702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962408195 | Suzanne Marie Vogelsmeier | Nurse Practitioner | 2305 South 65 Highway, Marshall, MO 65340-3702 | 2005-06-22 |
| 1932609856 | Diane Marie Schlesselman | Specialist/Technologist | 2305 South 65 Highway, Marshall, MO 65340 | 2018-02-16 |
| 1447707419 | Sara Walker | Dietitian, Registered | 2305 South 65 Highway, Marshall, MO 65340-3702 | 2016-09-07 |
| 1255888228 | Jana Curry | Dietitian, Registered | 2305 South 65 Highway, Marshall, MO 65340-3702 | 2016-09-07 |
| 1477924876 | Alyssa Beth Ferri | Registered Nurse | 2305 South 65 Highway, Marshall, MO 65340-3702 | 2015-10-12 |
| 1780077065 | John Fitzgibbon Memorial Hospital, Inc. | Clinic/Center | 2305 South 65 Highway, Marshall, MO 65340-3702 | 2015-03-11 |
| 1659769115 | Emily Ann Braun | Registered Nurse | 2305 South 65 Highway, Marshall, MO 65340-3702 | 2015-01-06 |
| 1861730517 | Cayla Leigh Malter | Social Worker | 2305 South 65 Highway, Marshall, MO 65340-3702 | 2013-01-30 |
| 1699070052 | Carrie M Peecher | Family Medicine | 2305 South 65 Highway, Building A, Marshall, MO 65340-3702 | 2011-01-17 |
| 1770808396 | Kristy L Jones | Internal Medicine | 2305 South 65 Highway, Marshall, MO 65340-3702 | 2010-04-07 |
| Find all providers in the same location | ||||
| 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 | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114056249 | Marshall Manor Homecare, LLC | Hospice Care, Community Based | 111 E Burleson St, Marshall, TX 75670-3312 | 2007-03-05 |
| 1508869249 | Hot Springs Health Program, Inc. | Hospice Care, Community Based | 590 Medical Park Dr, Marshall, NC 28753-6807 | 2005-05-25 |
| 1952727463 | Avera Marshall | Hospice Care, Community Based | 1104 E College Dr, Marshall, MN 56258-4270 | 2014-03-07 |
| 1407015019 | Ella E M Brown Charitable Circle | Hospice Care, Community Based | 13444 Preston Dr, Marshall, MI 49068-8536 | 2008-06-09 |
| 1255424818 | Prairie Home Hospice, Inc. | Hospice Care, Community Based | 408 E Main St, Suite 8, Marshall, MN 56258 | 2006-10-02 |
| 1578565818 | Hot Springs Health Program, Inc. | Hospice Care, Community Based | 590 Medical Park Dr., Marshall, NC 28753 | 2005-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558412 | Avimarie Vitality Home Care LLC | Hospice Care, Community Based | 262 Reasor Dr, Saint Louis, MO 63135-1129 | 2020-11-05 |
| 1992312383 | Specialized Hospice | Hospice Care, Community Based | 2311 S Redwood Ave # Ba, Independence, MO 64057-2405 | 2020-09-29 |
| 1477176345 | Community Hospice of The Carolinas, LLC | Hospice Care, Community Based | 10100 N Ambassador Dr Ste 100b, Kansas City, MO 64153-2313 | 2020-05-26 |
| 1073144572 | Vna Corporation | Hospice Care, Community Based | 1500 Meadow Lake Pkwy Ste 100, Kansas City, MO 64114-1620 | 2020-02-03 |
| 1821648684 | Crown Hospice of Poplar Bluff, LLC | Hospice Care, Community Based | 1125 Herschel Bess Blvd Ste 1, Poplar Bluff, MO 63901-3073 | 2019-09-13 |
| 1518514801 | Appl Orchard Hospice of Missouri Inc | Hospice Care, Community Based | 1600 Genessee St Ste 610, Kansas City, MO 64102-1082 | 2019-08-21 |
| 1811549322 | Allegiance Home Health Care LLC | Hospice Care, Community Based | 6439 Plymouth Ave Ste W116, Saint Louis, MO 63133-1905 | 2019-07-15 |
| 1770149023 | Clouds of Care In-home Healthcare Services LLC | Hospice Care, Community Based | 3450 Magnolia Ave, Saint Louis, MO 63118 | 2019-05-13 |
| 1720548522 | Deer Valley Hospice Care LLC | Hospice Care, Community Based | 8600 Airport Rd Ste 103, Saint Louis, MO 63134-1937 | 2019-03-20 |
| 1902361504 | Solace Hospice Care LLC | Hospice Care, Community Based | 14010 Manchester Rd, Manchester, MO 63011-4514 | 2019-02-07 |
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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.