HANNIBAL REGIONAL HOSPITAL (NPI# 1073532560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073532560 |
| Entity Type | Organization |
| Organization Name | HANNIBAL REGIONAL HOSPITAL |
| Other Organization Name | CENTER FAMILY PRACTICE |
| Practice Address |
401 East Hwy 19 Center MO 63436 |
| Mailing Address |
Po Box 1239 Hannibal MO 63401-1239 |
| Practice Telephone | 5732673318 |
| Practice Fax Number | 5732673933 |
| Mailing Telephone | 5732213415 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROGER J DIX (CFO) |
| Authorized Official Telephone | 5732481300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Center Family Practice | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174585103 | Hannibal Regional Hospital | Specialist/Technologist | 188a Medical Dr, Hannibal, MO 63401-6877 | 2006-04-05 |
| 1225382435 | Hannibal Regional Hospital | Clinic/Center | 3145 Highway 61, Suite A, Hannibal, MO 63401-6588 | 2012-11-09 |
| 1922356765 | Hannibal Regional Hospital | Internal Medicine | 714 Medical Park Dr, Mexico, MO 65265-3726 | 2012-08-28 |
| 1245510221 | Hannibal Regional Hospital | Clinic/Center | 3650 Stardust Dr, Hannibal, MO 63401-2480 | 2011-08-23 |
| 1841579356 | Hannibal Regional Hospital | Eyewear Supplier (Equipment, not the service) | 101 E Washington St, Pittsfield, IL 62363-1436 | 2011-08-15 |
| 1508155888 | Hannibal Regional Hospital | Clinic/Center | 1 Northport Plz, Hannibal, MO 63401-2269 | 2011-04-07 |
| 1871892158 | Hannibal Regional Hospital | Eyewear Supplier (Equipment, not the service) | 1 Northport Plz, Hannibal, MO 63401-2269 | 2011-03-25 |
| 1417273749 | Hannibal Regional Hospital | Eyewear Supplier (Equipment, not the service) | 175 Shinn Ln, Hannibal, MO 63401-6754 | 2010-04-12 |
| 1861632226 | Hannibal Regional Hospital | Optometrist | 175 Shinn Ln, Hannibal, MO 63401-6754 | 2009-02-25 |
| 1457409518 | Hannibal Regional Hospital | General Acute Care Hospital | 6000 Hospital Drive, Hannibal, MO 63401 | 2007-01-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HANNIBAL REGIONAL HOSPITAL | 6000 Hospital Dr, Hannibal, MO 63401-6887 |
| Street Address |
401 EAST HWY 19 |
| City | CENTER |
| State | MO |
| Zip Code | 63436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588852677 | Jerry Lee Armour | Physical Therapy Assistant | 301 W. Dunlop St., Center, MO 63436 | 2007-10-15 |
| 1285643346 | Mark Alan Tucker | Family Medicine | 401 E Hwy 19, Center, MO 63436 | 2006-08-07 |
| 1790829802 | Mma Healthcare of Center, Inc. | Skilled Nursing Facility | 301 West Dunlop St, Center, MO 63436-0258 | 2007-02-20 |
| 1497154033 | Lisa Peterson | Speech-Language Pathologist | 407 N Foster St, Center, MO 63436-1026 | 2014-08-20 |
| 1174757504 | Hannibal Clinic Operations, L.L.C. | Family Medicine | 401 E Highway 19, Center, MO 63436-1044 | 2009-05-13 |
| 1396972683 | Ralls County R-ii School District | Local Education Agency (LEA) | 21622 Highway 19, Center, MO 63436-2195 | 2009-06-15 |
| 1255897203 | Preferred Family Healthcare, Inc. | Clinic/Center | 21622 Highway 19, Center, MO 63436-2195 | 2019-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628722 | Robert Richardson | Pharmacist | 765 Hurst St, Center, TX 75935-3415 | 2020-11-01 |
| 1649878638 | Jo Ann Jones | Licensed Vocational Nurse | 904 Nacogdoches St, Center, TX 75935-4328 | 2020-10-13 |
| 1508470881 | San Luis Valley Community Mental Health Center | Clinic/Center | 260 Worth Street, Center, CO 81125 | 2020-09-03 |
| 1013529932 | Jessica Chang | Social Worker | 870 W, Center, UT 84057 | 2020-08-21 |
| 1053937391 | San Luis Valley Community Mental Health Center | Clinic/Center | 260 Worth St, Center, CO 81125 | 2020-06-23 |
| 1285269019 | Vanessa Solis | Registered Nurse | 1847 Us Highway 96 S, Center, TX 75935-6327 | 2020-03-12 |
| 1699325456 | Hayden Alan Knight | Physical Therapist | 854 Hurst St Ste 108, Center, TX 75935-3440 | 2019-09-13 |
| 1285284125 | Hygge Counseling Pllc | Clinic/Center | 114 Nacogdoches St, Center, TX 75935-3852 | 2019-09-12 |
| 1568011559 | Laura Beth Chandler | Counselor | 114 Nacogdoches St Ste D, Center, TX 75935-3852 | 2019-09-11 |
| 1861045726 | Hanna Fountain | Licensed Vocational Nurse | 129 County Road 243, Center, TX 75935-2924 | 2019-07-19 |
| Find all providers in CENTER | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942543335 | Cline Family Practice | Clinic/Center | 630 Hurst St, Center, TX 75935-3414 | 2013-04-03 |
| 1255729323 | East Texas Medical Clinic,p.a | Clinic/Center | 1743 Southview Cir, Center, TX 75935-9324 | 2014-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145668 | Essential Benefit Offerings, LLC | Clinic/Center | 1417 N Mount Auburn Rd Ste A2, Cape Girardeau, MO 63701-2171 | 2020-05-07 |
| 1114483468 | Your Optimal Healthcare LLC | Clinic/Center | 300 W 4th St Ste H, Eureka, MO 63025-1839 | 2019-02-12 |
| 1306313051 | Country Care Family Clinic, LLC | Clinic/Center | 3 E Cleveland Ave, Ellsinore, MO 63937 | 2018-10-31 |
| 1285118950 | Vera Whole Health, Wa PC | Clinic/Center | 8350 N. Church Road, Kansas City, MO 64158 | 2018-09-19 |
| 1003324542 | Quad/med, LLC | Clinic/Center | 2015 Ne Jefferson Street, Grain Valley, MO 64029 | 2018-01-18 |
| 1093267601 | Careatc-saint Peter | Clinic/Center | 4601 Executive Centre Pkwy, Saint Peters, MO 63376-1683 | 2016-10-30 |
| 1407303480 | Kerns Family Health Care LLC | Clinic/Center | 1335 Vilage Dr B, St. Joseph, MO 64506-2457 | 2016-09-07 |
| 1316491020 | Wecare Tlc - Wwt Mo Family Health Center | Clinic/Center | 58 Weldon Pkwy, Bldg 58, Maryland Heights, MO 63043-3237 | 2016-08-10 |
| 1255703500 | Community Hospital Association | Clinic/Center | 101 South Washington Street, Oregon, MO 64473 | 2015-10-27 |
| 1023485752 | Dennis E. Robinson D.o. | Clinic/Center | 487 Pomme De Terre Dr., Marshfield, MO 65706 | 2015-08-28 |
| Find all providers with the same taxonomy | ||||
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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.