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Organization
HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC
Active
Organization
HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC
Active
Parent organization
HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC
Other names
Canton/LaGrange Family Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC
Authorized official
ROB GASAWAY (VP OF FINANCE)
(573) 406-1608
Entity
Organization
Contact information
Practice address
1802 ELM ST, CANTON, MO 63435-1694
(573) 655-4891
(573) 288-5361
Mailing address
6500 HOSPITAL DR, HANNIBAL, MO 63401-6890
(573) 221-3415
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/18/2006
Last updated
05/25/2021
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