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Organization
HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC
Active
Organization
HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC
Active
Other names
Shelbina Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER J DIX (CFO)
(573) 248-1300
Entity
Organization
Contact information
Practice address
400 S CENTER ST, SHELBINA, MO 63468-1404
(573) 588-4131
(573) 588-4876
Mailing address
6000 HOSPITAL DRIVE, HANNIBAL, MO 63401-0551
(573) 248-1300
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/18/2006
Last updated
10/02/2014
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