# HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083134951
- **Authorized official:** ROBERT N GASAWAY (CFO)
- **Authorized official phone:** (573) 406-1609

## Contact information

- **Practice address:** 1611 S BALTIMORE ST, KIRKSVILLE, MO 63501-4518
- **Practice address phone:** (660) 665-7575
- **Practice address fax:** (660) 665-7576
- **Mailing address:** 1611 S BALTIMORE ST, KIRKSVILLE, MO 63501-4518
- **Mailing address phone:** (660) 665-7575
- **Mailing address fax:** (660) 665-7576

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | MO | Yes |

## Other

- **Enumeration date:** 06/22/2017
- **Last updated:** 07/21/2022