Hannibal Clinic Operations, L.l.c. | |
100 Medical Dr Hannibal MO 63401-6877 | |
(573) 221-5250 | |
(573) 231-3706 |
Full Name | Hannibal Clinic Operations, L.l.c. |
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Speciality | Clinic/center - Rural Health |
Location | 100 Medical Dr, Hannibal, Missouri |
Authorized Official Name and Position | Michael J Bukstein (PHYSICIAN EXEC DIRECTOR) |
Authorized Official Contact | 5732313172 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hannibal Clinic Operations, L.l.c. 100 Medical Dr Hannibal MO 63401-6877 Ph: (573) 221-5250 | Hannibal Clinic Operations, L.l.c. 100 Medical Dr Hannibal MO 63401-6877 Ph: (573) 221-5250 |
NPI Number | 1720450216 |
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Provider Enumeration Date | 10/23/2015 |
Last Update Date | 04/18/2022 |
Identifier | Type | State | Issuer |
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1720450216 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Marion County Health Dept. & Home Health Agency Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3105 Rt. W, Hannibal, MO 63401 Phone: 573-221-1166 Fax: 573-221-1214 | |