Healthcare Provider Details

I. General information

NPI: 1598116196
Provider Name (Legal Business Name): AURORA C. BELL DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AURORA CELESTE POWELL

II. Dates (important events)

Enumeration Date: 06/24/2016
Last Update Date: 02/15/2022
Certification Date: 02/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 W WASHINGTON ST
LANCASTER MO
63548-9038
US

IV. Provider business mailing address

6500 HOSPITAL DR
HANNIBAL MO
63401-6890
US

V. Phone/Fax

Practice location:
  • Phone: 660-457-3772
  • Fax: 660-457-3110
Mailing address:
  • Phone: 573-406-5888
  • Fax: 573-248-5264

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number125069562
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2019022424
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: