| Fitzgibbon Professional Building | |
|
2305 S Highway 65 Marshall MO 65340-3702 | |
| (660) 886-7800 | |
| (660) 831-3328 |
| Full Name | Fitzgibbon Professional Building |
|---|---|
| Speciality | Clinic/Center |
| Location | 2305 S Highway 65, Marshall, Missouri |
| Authorized Official Name and Position | Nancy Harris (CFO/COO) |
| Authorized Official Contact | 6608867231 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fitzgibbon Professional Building 2305 South 65 Highway Marshall MO 65340-3702 Ph: (660) 886-7800 | Fitzgibbon Professional Building 2305 S Highway 65 Marshall MO 65340-3702 Ph: (660) 886-7800 |
| NPI Number | 1215059985 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 03/05/2024 |
| Certification Date | 03/05/2024 |
| Medicare PECOS PAC ID | 2567351570 |
|---|---|
| Medicare Enrollment ID | O20040901000838 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215059985 | NPI | - | NPPES |
| 598987600 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
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Marshall Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2305 South 65 Highway, Building A, Marshall, MO 65340 Phone: 660-886-7800 Fax: 660-831-3328 |
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Katy Trail - Marshall School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 E Eastwood St, Marshall, MO 65340 Phone: 660-886-7100 |
Mid Missouri Family Health at Fitzgibbon Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2303 S Highway 65 Ste A, Marshall, MO 65340 Phone: 660-831-1175 Fax: 660-831-1195 |
D. J. Fahnestock, D. C., P. C. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 269 S Jefferson Ave, Marshall, MO 65340 Phone: 660-886-6903 Fax: 660-886-6904 |