Organization
ADVANCE HANNIBAL REGIONAL HOSPITAL LLC
Active
Parent organization
ADVANCE HANNIBAL REGIONAL HOSPITAL LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCE HANNIBAL REGIONAL HOSPITAL LLC
Authorized official
GREGORY REIS (PARTNER)
(217) 222-6800
Entity
Organization
Contact information
Practice address
1811 S MAIN ST, PALMYRA, MO 63461-1961
(573) 773-3488
Mailing address
160 PROGRESS RD STE 111, HANNIBAL, MO 63401-6630
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/08/2024
Last updated
07/31/2025
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