Organization
HANNIBAL REGIONAL HOSPITAL
Active
Other names
Center Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
ROB GASAWAY (VP OF FINANCE)
(573) 406-1608
Entity
Organization
Contact information
Practice address
401 EAST HWY 19, CENTER, MO 63436
(573) 267-3318
(573) 267-3933
Mailing address
PO BOX 1239, HANNIBAL, MO 63401-1239
(573) 221-3415
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/18/2006
Last updated
05/25/2021
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