| John Fitzgibbon Memorial Hospital Inc. | |
|
420 West Front Street Slater MO 65349-1328 | |
| (660) 529-2251 | |
| (660) 831-3348 |
| Full Name | John Fitzgibbon Memorial Hospital Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 420 West Front Street, Slater, Missouri |
| Authorized Official Name and Position | Nancy Harris (CFO/COO) |
| Authorized Official Contact | 6808867431 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John Fitzgibbon Memorial Hospital Inc. 420 West Front Street Slater MO 65349-1328 Ph: (660) 529-2251 | John Fitzgibbon Memorial Hospital Inc. 420 West Front Street Slater MO 65349-1328 Ph: (660) 529-2251 |
| NPI Number | 1952611436 |
|---|---|
| Provider Enumeration Date | 10/18/2010 |
| Last Update Date | 03/05/2024 |
| Medicare PECOS PAC ID | 2567351570 |
|---|---|
| Medicare Enrollment ID | O20120302000195 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952611436 | NPI | - | NPPES |
| 1952611436 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Missouri Valley Physicians Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 Main St, Slater, MO 65349 Phone: 660-529-2251 Fax: 660-529-9763 |