# HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hannibal Regional Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407135130
- **Authorized official:** DIX ROGER (CFO)
- **Authorized official phone:** (573) 248-1300

## Contact information

- **Practice address:** 101 E WASHINGTON ST, PITTSFIELD, IL 62363-1436
- **Practice address phone:** (217) 285-5012
- **Practice address fax:** (217) 285-4519
- **Mailing address:** 6500 HOSPITAL DR, P O BOX 1239, HANNIBAL, MO 63401-6890
- **Mailing address phone:** (573) 406-5888
- **Mailing address fax:** (573) 406-5889

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 046009247 | IL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/11/2011
- **Last updated:** 11/06/2014
