HANNIBAL CLINIC OPERATIONS, L.L.C. (NPI# 1215916911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215916911 |
Entity Type | Organization |
Organization Name | HANNIBAL CLINIC OPERATIONS, L.L.C. |
Other Organization Name | HANNIBAL CLINIC @ BOWLING GREEN |
Practice Address |
710 Business Highway 61 South Bowling Green MO 63334-5239 |
Mailing Address |
100 Medical Dr P.o. Box 311 Hannibal MO 63401-6877 |
Practice Telephone | 5733242063 |
Practice Fax Number | 5733242167 |
Mailing Telephone | 5732215250 |
Mailing Fax Number | 5732313706 |
Enumeration Date | 2006-01-11 |
Last Update Date | 2017-04-21 |
Authorized Official Name | MR. JEFF W EVANS (ADMINISTRATOR) |
Authorized Official Telephone | 5732313172 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 500221007 | 05 |
Other Name | Type Code |
---|---|
Hannibal Clinic @ Bowling Green | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174757504 | Hannibal Clinic Operations, L.L.C. | Family Medicine | 401 E Highway 19, Center, MO 63436-1044 | 2009-05-13 |
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 |
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 |
710 BUSINESS HIGHWAY 61 SOUTH |
City | BOWLING GREEN |
State | MO |
Zip Code | 63334-5239 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992348304 | Heartland Hearing Center | Hearing Instrument Specialist | 313 Ste D South Business 61, Bowling Green, MO 63334 | 2019-10-18 |
1588168215 | Bgmg Corporation | Family Medicine | 905 Business 161, Bowling Green, MO 63334 | 2018-03-19 |
1972012193 | Gale Marie Schlogl | Nurse Practitioner | 8 Bowling Green Town Center Drive, Hannibal Regional Medical Group, Bowling Green, MO 63334 | 2017-09-20 |
1609112754 | Advance Hannibal Regional Hospital, LLC | Physical Therapist | 710 Bus. Hwy 61 South, Bowling Green, MO 63334 | 2012-12-18 |
1346447158 | Tomas V Cabrera | Contractor | 13698 Pike 46 Airport Road, Bowling Green, MO 63334 | 2007-06-27 |
1720143621 | North East Commuinty Action Corp | Home Health Aide | 16 North Court Street, Bowling Green, MO 63334 | 2006-12-22 |
1649361205 | Anita J Huber | Chiropractor | 1420 Bus. Hwy. 61 South, Suite D, Bowling Green, MO 63334 | 2006-09-27 |
1912930397 | Dialysis Clinic Inc. | Clinic/Center | 4 Town Center Dr Ste F, Bowling Green, MO 63334 | 2006-07-08 |
1275918856 | Stephanie Diane Walker | Nurse Practitioner | 1420 S Business 61, Bowling Green, MO 63334 | 2015-07-24 |
1568664308 | Howard Jay Schneider | Dentist | 1015 W Adams St, Bowling Green, MO 63334 | 2007-06-04 |
Find all providers in zip 63334 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134633456 | Pike County Memorial Hospital | Clinic/Center | 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 | 2017-11-22 |
1700806130 | Hannibal Regional Healthcare System, Inc | Clinic/Center | #8 Town Center Drive, Bowling Green, MO 63334-0000 | 2006-07-20 |
1124030424 | Pike County Memorial Hospital | Clinic/Center | 1015 W Adams St, Bowling Green, MO 63334-1974 | 2006-08-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871102137 | Washington County Memorial Hospital | Clinic/Center | 14206 Hwy C, Belgrade, MO 63622 | 2020-07-23 |
1891325072 | Scotland County Memorial Hospital | Clinic/Center | 55682 State Highway 6 Ste A, Edina, MO 63537-4268 | 2020-01-16 |
1639736457 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 800 Us Highway 61, New Madrid, MO 63869-1106 | 2019-05-28 |
1720505894 | Perry County Health System | Clinic/Center | 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 | 2017-08-29 |
1427572007 | Missouri Delta Medical Center | Clinic/Center | 209 W Yoakum Ave, Chaffee, MO 63740-1138 | 2017-07-26 |
1790213676 | Jackson Primary Care LLC | Clinic/Center | 2685 E Main St Ste A, Jackson, MO 63755-2474 | 2017-05-23 |
1972050581 | Sgoh Acquisition, Inc. | Clinic/Center | 912b State Highway 59, Goodman, MO 64843-8252 | 2016-09-01 |
1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
1669856829 | Ssm Regional Health Services | Clinic/Center | 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 | 2015-07-16 |
1831515907 | Marble Hill Medical Clinic, LLC | Clinic/Center | 307 Broadway St., Marble Hill, MO 63764-8321 | 2014-03-12 |
Find all providers with the same taxonomy |
City | BOWLING GREEN |
Zip Code | 63334 |
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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.