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Organization
HANNIBAL CLINIC OPERATIONS, L.L.C.
Active
Organization
HANNIBAL CLINIC OPERATIONS, L.L.C.
Active
Parent organization
HANNIBAL CLINIC OPERATIONS, L.L.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
HANNIBAL CLINIC OPERATIONS, L.L.C.
Authorized official
MICHAEL J BUKSTEIN MD (PHYSICIAN EXEC DIRECTOR)
(573) 231-3172
Entity
Organization
Contact information
Practice address
100 MEDICAL DR, HANNIBAL, MO 63401-6877
(573) 221-5250
(573) 231-3706
Mailing address
100 MEDICAL DR, HANNIBAL, MO 63401-6877
(573) 221-5250
(573) 231-3706
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/23/2015
Last updated
04/18/2022
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