Pilot Grove Medical Clinic At Fitzgibbon

LBN: John Fitzgibbon Memorial Hospital Inc
Pilot Grove Medical Clinic At Fitzgibbon is an health care organization with primary practice located at 212 College St , Pilot Grove MO 65276-1005. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. John Fitzgibbon Memorial Hospital Inc can be contacted via phone (660) 831-3728, or through Harris, Nancy via phone (660) 886-7431.

Contact Information

Primary practice address
212 College St Pilot Grove MO 65276-1005
Phone: (660) 831-3728
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Harris, Nancy
Phone: (660) 886-7431

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1073279873
LBN Legal business name John Fitzgibbon Memorial Hospital Inc
DBA Doing business as Pilot Grove Medical Clinic At Fitzgibbon
Authorized official Harris, Nancy
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 16th, 2021
Last updated Jun 19th, 2024 - about 5 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073279873 NPPES
Missouri MEDICAID 268790

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