MARSHALL EMERGENCY PHYSICIANS – NPI #1558388173
Clinic/Center

MARSHALL EMERGENCY PHYSICIANS is an AHC clinic located in MARSHALL, MO. NPPES has assigned the NPI number 1558388173 to MARSHALL EMERGENCY PHYSICIANS on July 17, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MARSHALL EMERGENCY PHYSICIANS” is a dba name, the actual legal business name for this organization is JOHN FITZGIBBON MEMORIAL HOSPITAL, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QE0002X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Emergency Care

The NPI profile was previously updated about 2 years ago on Mar 05, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARSHALL EMERGENCY PHYSICIANS below.

NPI Profile for
JOHN FITZGIBBON MEMORIAL HOSPITAL, INC.

NPI Number
1558388173
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JOHN FITZGIBBON MEMORIAL HOSPITAL, INC.
Doing Business As (dba): MARSHALL EMERGENCY PHYSICIANS
Primary location
2305 S 65 HIGHWAY
MARSHALL, MO 65340-3702
Phone: (660) 886-7431 Fax: (660) 886-9001
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NANCY HARRIS
CFO/COO
Phone: (660) 886-7431
Updated
Certification Date
Mar 05, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MARSHALL EMERGENCY PHYSICIANS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMO1558388173
medicaidMO506962703
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0002X
- Clinic/Center / Emergency Care (Primary)
261Q00000X
- Clinic/Center

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.