HANNIBAL REGIONAL HEALTHCARE SYSTEM INC (NPI# 1003956095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003956095 |
| Entity Type | Organization |
| Organization Name | HANNIBAL REGIONAL HEALTHCARE SYSTEM INC |
| Other Organization Name | HANNIBAL REGIONAL HOSPITAL PHYSICIANS |
| Practice Address |
6000 Hospital Drive Hannibal MO 63401 |
| Practice Telephone | 5732481300 |
| Practice Fax Number | 5732485448 |
| Mailing Telephone | 5732481300 |
| Mailing Fax Number | 5732485448 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2015-08-19 |
| Authorized Official Name | ROGER J DIX (CFO) |
| Authorized Official Telephone | 5732485254 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 540416005 | 05 |
| Other Name | Type Code |
|---|---|
| Hannibal Regional Hospital Physicians | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033596234 | Hannibal Regional Healthcare System Inc | Rehabilitation Unit | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2015-04-27 |
| 1558389189 | Hannibal Regional Healthcare System Inc | Clinic/Center | 211 S 3rd St, Louisiana, MO 63353-2000 | 2006-07-18 |
| Street Address |
6000 HOSPITAL DRIVE |
| City | HANNIBAL |
| State | MO |
| Zip Code | 63401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962461384 | Cheryl L Hagmeier | Occupational Therapist | 6000 Hospital Drive, Hannibal, MO 63401 | 2006-03-23 |
| 1174898720 | Amanda Watkins | Occupational Therapist | 6000 Hospital Drive, Hannibal, MO 63401 | 2012-03-15 |
| 1811147580 | Jennifer Elizabeth Tyler II | Physical Therapy Assistant | 6000 Hospital Drive, Hannibal, MO 63401-3515 | 2008-09-30 |
| 1205958394 | Kimberly L Norton | Physical Therapy Assistant | 6000 Hospital Drive, Hannibal, MO 63401 | 2007-04-06 |
| 1013036896 | Marcy Hull | Occupational Therapist | 6000 Hospital Drive, Hannibal, MO 63401 | 2007-03-29 |
| 1659495422 | Lisa Kaye Dryden | Physical Therapist | 6000 Hospital Drive, Hannibal, MO 63401 | 2007-03-19 |
| 1558494955 | Aaron Scott Zook | Physical Therapy Assistant | 6000 Hospital Drive, Hannibal, MO 63401 | 2007-03-14 |
| 1225161276 | Kara Gene Brewer | Physical Therapist | 6000 Hospital Drive, Hannibal, MO 63401 | 2007-03-13 |
| 1093843708 | Debbra Ann Scott | Physical Therapy Assistant | 6000 Hospital Drive, Hannibal, MO 63401 | 2007-03-02 |
| 1497806541 | Janelle Wathen | Occupational Therapist | 6000 Hospital Drive, Hannibal, MO 63401 | 2007-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981064 | Amanda Lynn Jennings | Nurse Practitioner | Hannibal Clinic, 100 Medical Drive, Hannibal, MO 63401 | 2019-09-13 |
| 1316452295 | Hannibal Regional Healthcare System, Inc | Hospice Care, Community Based | 6401 Hwy Mm, Hannibal, MO 63401 | 2017-12-13 |
| 1932614351 | Sidney M Johnson | Counselor | 1221 Broadway St, Hannibal, MO 63401 | 2017-12-07 |
| 1316467210 | Jessica Baker | Counselor | 4355 Paris Gravel Road, Hannibal, MO 63401 | 2017-06-21 |
| 1346787066 | Hands Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17 Settlerstrail, Hannibal, MO 63401 | 2017-01-20 |
| 1134571672 | Pamela Barrigar | Social Worker | 4600 Mcmasters Ave, Hannibal, MO 63401 | 2016-07-08 |
| 1639540677 | Jessica Murfin | Speech-Language Pathologist | 544 N Veterans Rd, Hannibal, MO 63401 | 2015-10-16 |
| 1366835639 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 8965 Highway 36 Ste 3, Hannibal, MO 63401 | 2015-03-11 |
| 1639324254 | Hannibal Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 118 Steam Boat Bend, Hannibal, MO 63401 | 2008-11-24 |
| 1780856112 | Barbara Belle Smith | Social Worker | 3700 Hwy Mm, Hannibal, MO 63401 | 2008-03-26 |
| Find all providers in zip 63401 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699262329 | Riverside Dermatology & Spa LLC | Clinic/Center | 163 Medical Dr, Hannibal, MO 63401-6884 | 2018-04-18 |
| 1245510221 | Hannibal Regional Hospital | Clinic/Center | 3650 Stardust Dr, Hannibal, MO 63401-2480 | 2011-08-23 |
| 1508155888 | Hannibal Regional Hospital | Clinic/Center | 1 Northport Plz, Hannibal, MO 63401-2269 | 2011-04-07 |
| 1134311392 | Hannibal Regional Healthcare System, Inc | Clinic/Center | 6500 Hospital Drive, Hannibal, MO 63401-1239 | 2007-08-13 |
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| 1275014953 | Arch Pediatrics LLC | Clinic/Center | 3844 S Lindbergh Blvd Ste 216, Saint Louis, MO 63127-1369 | 2018-08-22 |
| 1174015515 | Washington University Physicians In Illinois, Inc | Clinic/Center | 4511 Forest Park Ave, Saint Louis, MO 63108-2138 | 2018-06-01 |
| 1164921300 | Texas County Memorial Hospital | Clinic/Center | 1333 S Sam Houston Blvd Ste A, Houston, MO 65483 | 2018-02-02 |
| 1053822650 | Edge Medical Services Inc. | Clinic/Center | 105 W 34th St Apt 2, Kansas City, MO 64111-1677 | 2017-10-23 |
| 1932618394 | United Physicians Group, LLC | Clinic/Center | 14825 N Outer 40 Rd Ste 365, Chesterfield, MO 63017-2152 | 2017-09-28 |
| 1073022000 | Fairview Heights Medical Group Sc | Clinic/Center | 670 Mason Ridge Center Dr Ste 300, Saint Louis, MO 63141-8573 | 2017-09-21 |
| 1013433762 | Elevating Care Clinic, LLC | Clinic/Center | 2340 E. Meyer Blvd, 208, Kansas City, MO 64132-1105 | 2017-08-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.