Grand River Medical Center

LBN: John Fitzgibbon Memorial Hospital, Inc.
Grand River Medical Center is an health care organization with primary practice located at 815 E. Broadway Street , Brunswick MO 65236-1468. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. John Fitzgibbon Memorial Hospital, Inc. can be contacted via phone (660) 886-7431, or through Harris, Nancy via phone (660) 886-7431.

Contact Information

Primary practice address
815 E. Broadway Street Brunswick MO 65236-1468
Phone: (660) 886-7431
Fax: (660) 831-3328
Website:
Map and Directions
Authorized official contact:
Name: Harris, Nancy
Phone: (660) 886-7431

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X 598917607 Missouri

Profile Details

NPI number 1922032549
LBN Legal business name John Fitzgibbon Memorial Hospital, Inc.
DBA Doing business as Grand River Medical Center
Authorized official Harris, Nancy
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 10th, 2006
Last updated Mar 5th, 2024 - about last year

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 1922032549 NPPES
Missouri MEDICAID 508292604
Missouri MEDICAID 598917607

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