| Fitzgibbon Family Health | |
|
600 W Morrison St Suite 5 Fayette MO 65248-1075 | |
| (660) 248-2900 | |
| (660) 248-1544 |
| Full Name | Fitzgibbon Family Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 600 W Morrison St, Fayette, 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 Family Health 2305 S Highway 65 Marshall MO 65340-3702 Ph: (660) 886-7431 | Fitzgibbon Family Health 600 W Morrison St Suite 5 Fayette MO 65248-1075 Ph: (660) 248-2900 |
| NPI Number | 1316140494 |
|---|---|
| Provider Enumeration Date | 06/07/2007 |
| Last Update Date | 03/05/2024 |
| Medicare PECOS PAC ID | 2567351570 |
|---|---|
| Medicare Enrollment ID | O20150806011729 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316140494 | NPI | - | NPPES |
| 503959108 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Missouri) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | 27-56 (Missouri) | Primary |
University Physicians Specialty Care Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 S Church St, Fayette, MO 65248 Phone: 660-248-2217 | |
University Physicans Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 S Church St, Fayette, MO 65248 Phone: 660-248-2217 Fax: 660-248-3450 | |
Ccmh Family Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 W Morrison St, Suite 5, Fayette, MO 65248 Phone: 660-248-2900 Fax: 660-248-1544 |