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NPI Code Detail

MEDICARE: HANNIBAL REGIONAL HEALTH CARE SYSTEM

MEDICARE: HANNIBAL REGIONAL HEALTH CARE SYSTEM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QH0100XHealth Service Clinic/Center083630MO

General Provider Information

NPI Number : 1043544695
Entity Type Code : Organization
Provider Name (Legal Business Name) : HANNIBAL REGIONAL HEALTH CARE SYSTEM
Provider Business Mailing Address
First Line : 6500 HOSPITAL DR
Second Line :
City : HANNIBAL
State : MO
Zip : 63401-6890
Country : US
Telephone Number : 573-248-1300
Fax Number :
Provider Business Practice Location Address
First Line : 400 S CENTER ST
Second Line :
City : SHELBINA
State : MO
Zip : 63468-1404
Country : US
Telephone Number : 573-588-4131
Fax Number :
Authorized Official
Title or Position : VP OF FINANCE
Name : ROB GASAWAY
Credential :
Telephone Number : 573-406-1608
Provider Enumeration Date : 09/30/2009
Last Update Date : 05/25/2021

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Directions to “HANNIBAL REGIONAL HEALTH CARE SYSTEM ” Practice Location

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