JOHN FITZGIBBON MEMORIAL HOSPITAL INC. NPI 1922032549

NPI Information

  • NPI: 1922032549
  • Provider Name: JOHN FITZGIBBON MEMORIAL HOSPITAL, INC.
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: GRAND RIVER MEDICAL CENTER
  • CLIA Number: 26D0912465
  • Address: 815 E. BROADWAY STREET
    BRUNSWICK, MO
    ZIP 65236
  • Phone: (660) 886-7431

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NPI Details

JOHN FITZGIBBON MEMORIAL HOSPITAL, INC. is a rural health clinic center in Brunswick, MO. JOHN FITZGIBBON MEMORIAL HOSPITAL, INC. NPI is 1922032549. The provider is registered as an organization entity type.
The provider Is Doing Business As Grand River Medical Center.

The provider's business location address is:

815 E. BROADWAY STREET
BRUNSWICK, MO
ZIP 65236-468
Phone: (660) 886-7431
Fax: (660) 831-3328

The provider's authorized official is Nancy Harris .
The authorized official title is Cfo/coo and has the following contact phone number (660) 886-7431.

The CLIA number assigned to this NPI record is 26D0912465 - rural health clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/10/2006 and was last updated on 3/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural Health598917607MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1508292604MEDICAIDMISSOURI
2598917607MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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