| Hannibal Regional Healthcare System, Inc | |
|
#8 Town Center Drive Bowling Green MO 63334-0000 | |
| (573) 324-2241 | |
| (573) 324-5137 |
| Full Name | Hannibal Regional Healthcare System, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | #8 Town Center Drive, Bowling Green, Missouri |
| Authorized Official Name and Position | Robert N Gasaway (CFO) |
| Authorized Official Contact | 5732481300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hannibal Regional Healthcare System, Inc 6000 Hospital Dr Hannibal MO 63401-6887 Ph: (573) 248-1300 | Hannibal Regional Healthcare System, Inc #8 Town Center Drive Bowling Green MO 63334-0000 Ph: (573) 324-2241 |
| NPI Number | 1700806130 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 01/19/2018 |
| Medicare PECOS PAC ID | 1254236300 |
|---|---|
| Medicare Enrollment ID | O20141203000623 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700806130 | NPI | - | NPPES |
| 598051506 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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