CCN: 261536 NPI: 1942220751 Organization

FITZGIBBON MARY MONTGOMERY HOSPICE

2305 SOUTH 65 HIGHWAY
MARSHALL, MO 653403702

Contact Information

Phone 6608867431
Fax 6608313328
Enumeration Date 2006-07-21
Last Updated 2024-03-05

Taxonomies

Code: 251G00000X
Code: 251G00000X (Primary) License State: MO License: 27-57

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 6

cbsaActualGeographicLocation 99926

providerType 35

censusDivision 6

cbsaActualGeographicLocation 99926

providerType 35

censusDivision 0

cbsaActualGeographicLocation 99926

providerType 35

censusDivision 0

cbsaActualGeographicLocation 99926

providerType 35

censusDivision 0

cbsaActualGeographicLocation 99926

providerType 35

censusDivision 0

cbsaActualGeographicLocation 99926

providerType 35

censusDivision 0

cbsaActualGeographicLocation 99926

providerType 35

censusDivision 0

cbsaActualGeographicLocation 99926

providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 99926

providerType 35

specialPaymentIndicator

carrierCode 05302

localityCode 02