HANNIBAL CLINIC OPERATIONS, L.L.C. (NPI# 1831294396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831294396 |
| Entity Type | Organization |
| Organization Name | HANNIBAL CLINIC OPERATIONS, L.L.C. |
| Other Organization Name | HANNIBAL CLINIC @ VANDALIA |
| Practice Address |
425 N Galloway Rd Vandalia MO 63382-1259 |
| Mailing Address |
100 Medical Dr Hannibal MO 63401-6877 |
| Practice Telephone | 5735943832 |
| Practice Fax Number | 5732313706 |
| Mailing Telephone | 5732215250 |
| Mailing Fax Number | 5732313706 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-06-03 |
| Authorized Official Name | RANDY JOBE (ADMINISTRATOR) |
| Authorized Official Telephone | 5732215250 |
| 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 @ Vandalia | Doing Business As Name - 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 |
| 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 |
| 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 |
425 N GALLOWAY RD |
| City | VANDALIA |
| State | MO |
| Zip Code | 63382-1259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265403869 | Aaron Trone | General Practice | 425 N Galloway Rd, Vandalia, MO 63382-1259 | 2006-01-31 |
| 1891201331 | Pike County Memorial Hospital | Family Medicine | 425 N Galloway Rd, Vandalia, MO 63382-1259 | 2017-12-20 |
| 1033578588 | Pike County Memorial Hospital | Family Medicine | 425 N Galloway Rd, Vandalia, MO 63382-1259 | 2016-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356806806 | Christina Dixon | Nurse Practitioner | 1101 E Us Highway 54, Vandalia, MO 63382 | 2019-02-08 |
| 1710187539 | Danielle Mcgovern Bradshaw | Psychiatry & Neurology | 1101 E Hw 54, Womens Eastern Reception Diagnostic and Correctional Ce, Vandalia, MO 63382 | 2007-07-19 |
| 1043285398 | Crisanto Gualberto | General Practice | 106 W State Street, Vandalia, MO 63382 | 2006-02-21 |
| 1760463384 | Teresa L Stice | Optometrist | 209 W Washington, Vandalia, MO 63382 | 2005-11-10 |
| 1376554485 | Michael Robert Cole | Chiropractor | 201 S. Main St., Vandalia, MO 63382-0149 | 2006-08-11 |
| 1629223425 | Cole Chiropractic Center LLC | Chiropractor | 201 S. Main St., Vandalia, MO 63382-0149 | 2008-11-20 |
| 1538281126 | Van Far R-i | Local Education Agency (LEA) | 2200 W Us Highway 54, Vandalia, MO 63382-1130 | 2007-04-04 |
| 1316072903 | Lisa Jean Wise | Speech-Language Pathologist | 2200 W Highway 54, Van-far R-1 School District, Vandalia, MO 63382-1130 | 2007-02-22 |
| 1447397948 | Niemann Foods Inc | Pharmacy | 1555 W Us Highway 54, Vandalia, MO 63382-1158 | 2007-01-31 |
| 1962483214 | Tri County Nursing Home District | Skilled Nursing Facility | 601 N Galloway Rd, Vandalia, MO 63382-1252 | 2005-11-11 |
| Find all providers in zip 63382 | ||||
| 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 |
|---|---|---|---|---|
| 1396987053 | Glenn Skow | Family Medicine | 825 New York Dr Ste 2, Vandalia, IL 62471-1044 | 2009-03-27 |
| 1881760411 | Merle Eugene Gibson | Family Medicine | 254 Bohanan Drive, Vandalia, OH 45377 | 2006-11-27 |
| 1720161086 | Samaritan Family Care Inc | Family Medicine | 810 Falls Creek Dr, Suite B, Vandalia, OH 45377-8600 | 2006-10-23 |
| 1518902006 | Southern Illinois Healthcare Foundation, Inc. | Family Medicine | 727 W Jackson St, Vandalia, IL 62471-1722 | 2006-06-18 |
| 1407895543 | David E. Cox | Family Medicine | 1 E National Rd Ste 100, Vandalia, OH 45377-2100 | 2006-06-05 |
| 1104879097 | Mvhe Inc | Family Medicine | 55 Elva Ct, Vandalia, OH 45377-1875 | 2006-05-19 |
| 1467405332 | Samaritan Family Care Inc | Family Medicine | 1 W National Rd, Vandalia, OH 45377-1932 | 2006-05-19 |
| 1366490815 | Brian W. Dossett | Family Medicine | 1029 N 8th St, Vandalia, IL 62471-1238 | 2006-05-05 |
| 1457317679 | Premier Integrated Medical Associates, Ltd | Family Medicine | 1 E National Rd, Vandalia, OH 45377-2116 | 2006-04-25 |
| 1548221799 | Arkom Chulamorkodt | Family Medicine | 606 W Jackson St, Vandalia, IL 62471 | 2006-03-29 |
| Find all providers in VANDALIA | ||||
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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.