HANNIBAL CLINIC OPERATIONS, L.L.C. (NPI# 1174757504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174757504 |
| Entity Type | Organization |
| Organization Name | HANNIBAL CLINIC OPERATIONS, L.L.C. |
| Other Organization Name | HANNIBAL CLINIC @ CENTER |
| Practice Address |
401 E Highway 19 Center MO 63436-1044 |
| Mailing Address |
100 Medical Dr Hannibal MO 63401-6877 |
| Practice Telephone | 5732673318 |
| Practice Fax Number | 5732673933 |
| Mailing Telephone | 5732215250 |
| Mailing Fax Number | 5732313706 |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2020-06-03 |
| Authorized Official Name | MR. RANDY JOBE (ADMINISTRATOR) |
| Authorized Official Telephone | 5732313172 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 500221007 | 05 |
| Other Name | Type Code |
|---|---|
| Hannibal Clinic @ Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962481663 | Hannibal Clinic Operations, L.L.C. | Family Medicine | 1811 S Main St, Palmyra, MO 63461-1961 | 2006-01-11 |
| 1477532182 | Hannibal Clinic Operations, L.L.C. | Podiatrist | 821 Highway 24 and 36 E, Monroe City, MO 63456-1470 | 2006-01-11 |
| 1215916911 | Hannibal Clinic Operations, L.L.C. | Family Medicine | 710 Business Highway 61 South, Bowling Green, MO 63334-5239 | 2006-01-11 |
| 1336611581 | Hannibal Clinic Operations, L.L.C. | Family Medicine | 109 East St, Clarence, MO 63437-1902 | 2018-12-28 |
| 1720450216 | Hannibal Clinic Operations, L.L.C. | Clinic/Center | 100 Medical Dr, Hannibal, MO 63401-6877 | 2015-10-23 |
| 1831294396 | Hannibal Clinic Operations, L.L.C. | Family Medicine | 425 N Galloway Rd, Vandalia, MO 63382-1259 | 2006-09-13 |
| 1447239157 | Hannibal Clinic Operations, L.L.C. | Internal Medicine | 400 N Main St, Monroe City, MO 63456-1318 | 2006-01-11 |
| 1780663401 | Hannibal Clinic Operations, L.L.C. | Internal Medicine | 5985 Hospital Dr, Hannibal, MO 63401 | 2006-01-11 |
| Street Address |
401 E HIGHWAY 19 |
| City | CENTER |
| State | MO |
| Zip Code | 63436-1044 |
| 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 |
| 1073532560 | Hannibal Regional Hospital | Clinic/Center | 401 East Hwy 19, Center, MO 63436 | 2006-07-18 |
| 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 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750779542 | Aurora Concepts, Pllc | Family Medicine | 233 Hurst Street, Suite B, Center, TX 75935 | 2014-12-31 |
| 1396757613 | Keith E Miller | Family Medicine | 620 Tenaha St, Center, TX 75935-3404 | 2006-08-13 |
| 1285643346 | Mark Alan Tucker | Family Medicine | 401 E Hwy 19, Center, MO 63436 | 2006-08-07 |
| 1003052952 | Coal Country Community Health Center | Family Medicine | 111 E. Main St., Center, ND 58530-0333 | 2008-12-24 |
| 1356503858 | Craig M Mcmullen Md Pa | Family Medicine | 233 Hurst St, Center, TX 75935-4321 | 2008-06-26 |
| 1134242381 | Keith E. Miller, M.d.,p.a. | Family Medicine | 620 Tenaha St, Center, TX 75935-3404 | 2007-04-10 |
| 1972648434 | Center Rural Health Clinic | Family Medicine | 620 Tenaha St, Center, TX 75935-3404 | 2007-02-21 |
| 1063503449 | Michael H Belgard | Family Medicine | 620 Tenaha St, Center, TX 75935-3404 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596877 | Stephanie R Nicholson | Family Medicine | 4500 S Park Ave, Sedalia, MO 65301-8525 | 2020-10-21 |
| 1053919514 | Kelli Lichte | Family Medicine | 601 S 13 Hwy, Lexington, MO 64067-1511 | 2020-10-15 |
| 1053927228 | Cox- Monett Hospital, Inc. | Family Medicine | 1000 E Hwy 60, Monett, MO 65708 | 2020-09-22 |
| 1104432806 | Jefferson Medical Group | Family Medicine | 807 E Broadway St, Brunswick, MO 65236-1468 | 2020-09-17 |
| 1124633995 | Continuum Family Care LLC | Family Medicine | 2336 S Main St, Maryville, MO 64468-3622 | 2020-09-09 |
| 1326652579 | Linda Diane Watson | Family Medicine | 338 Emerson Rd Apt 104, High Ridge, MO 63049-2530 | 2020-09-04 |
| 1447868005 | Brittany Mechelle Waterworth | Family Medicine | 3700 I 70 Dr Se Ste 106, Columbia, MO 65201-6587 | 2020-07-20 |
| 1013542828 | Johns Healthcare Services LLC | Family Medicine | 2001 Independence St Ste A, Cape Girardeau, MO 63703-5805 | 2020-03-12 |
| 1972133460 | Fnp4jc, LLC | Family Medicine | 215 North Street, Waynesville, MO 65583 | 2020-01-23 |
| 1568092732 | Scotland County Memorial Hospital | Family Medicine | 55682 State Highway 6, Edina, MO 63537-4267 | 2020-01-16 |
| 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.