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PILOT GROVE MEDICAL CLINIC AT FITZGIBBON
NPI 1073279873
Clinic/Center - Rural Health in Pilot Grove, MO

Active since November 16, 2021CLIA 26D1039724 · Waiver
212 COLLEGE ST, PILOT GROVE, MO 65276(660) 831-3728 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 19, 2024, Mar 5, 2024, Oct 10, 2023 and 2 more (5 updates tracked since 2021).

About Pilot Grove Medical Clinic At Fitzgibbon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PILOT GROVE MEDICAL CLINIC AT FITZGIBBON (NPI 1073279873) is a healthcare organization registered as a rural health in Pilot Grove, Missouri and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through April 19, 2027 and lists Nancy Harris, Cfo/coo, as its authorized official.

NPPES Registry Identity

NPI1073279873
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameJOHN FITZGIBBON MEMORIAL HOSPITAL INC
Location Address212 COLLEGE STPilot Grove, MO 65276-1005
Mailing AddressPo Box 801303Kansas City, MO 64180-1303 · (660) 831-3728 · Fax (660) 831-3326
Phone(660) 831-3728
Organization SubpartYesParent: John Fitzgibbon Memorial Hospital, Inc.
Authorized OfficialNancy HarrisCfo/coo · (660) 886-7431
Enumeration DateNovember 16, 2021
Last NPPES UpdateJune 19, 20245 updates tracked since enumeration
NPPES CertifiedJune 19, 2024
✔ NPI 1073279873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
212 COLLEGE ST, Pilot Grove, MO 65276
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Other Names 1

Doing Business AsPilot Grove Medical Clinic At Fitzgibbon

Other Identifiers 1

Medicaid268790MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D1039724

Pilot Grove Medical Clinic At Fitzgibbon · Pilot Grove, MO
Active · expires Apr 19, 2027
CLIA Number26D1039724
Laboratory TypePhysician Office
Certificate Effective DateApril 20, 2025
Certificate Expiration DateApril 19, 2027
Laboratory DirectorTim Ryan
Laboratory Phone(660) 834-5100
Laboratory LocationPilot Grove Medical Clinic At Fitzgibbon212 College Street, Pilot Grove, MO 65276
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PILOT GROVE RURAL HEALTH CLINIC
Nurse Practitioner
212 COLLEGE ST
PILOT GROVE, MO 65276
Cooper County (660) 834-5100
LAURIE A BEACH
Family Medicine
212 COLLEGE ST
PILOT GROVE, MO 65276
Cooper County (660) 834-5100
LAURIE A BEACH
Nurse Practitioner
212 COLLEGE ST
PILOT GROVE, MO 65276
Cooper County (660) 834-5100
LAURIE ANN BEACH
Nurse Practitioner (Family)
212 COLLEGE ST
PILOT GROVE, MO 65276
Cooper County (660) 831-3728

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Fitzgibbon Memorial Hospital Inc's NPI number?

The NPI number for John Fitzgibbon Memorial Hospital Inc is 1073279873. It was assigned to this organization in the NPPES registry on November 16, 2021. The provider is doing business as Pilot Grove Medical Clinic At Fitzgibbon.

Where is John Fitzgibbon Memorial Hospital Inc located?

John Fitzgibbon Memorial Hospital Inc is located at 212 College St, Pilot Grove, MO 65276. The listed phone number is (660) 831-3728.

What is John Fitzgibbon Memorial Hospital Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does John Fitzgibbon Memorial Hospital Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D1039724) is associated with this NPI, valid through April 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does John Fitzgibbon Memorial Hospital Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list John Fitzgibbon Memorial Hospital Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Fitzgibbon Memorial Hospital Inc was last updated on June 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.