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6500 Hospital Dr Hannibal MO 63401-6890 | |
(573) 629-3440 | |
(573) 629-3442 |
Full Name | |
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Speciality | Clinic/Center |
Location | 6500 Hospital Dr, Hannibal, Missouri |
Authorized Official Name and Position | Rob Gasaway (VP OF FINANCE) |
Authorized Official Contact | 5734061608 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 801222 Kansas City MO 64180-1222 Ph: () - | 6500 Hospital Dr Hannibal MO 63401-6890 Ph: (573) 629-3440 |
NPI Number | 1033669353 |
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Provider Enumeration Date | 10/11/2016 |
Last Update Date | 05/25/2021 |
Medicare PECOS PAC ID | 1254236300 |
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Medicare Enrollment ID | O20161128000820 |
Identifier | Type | State | Issuer |
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1033669353 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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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 | |