Organization
HANNIBAL REGIONAL HOSPITAL
Active
Other names
Hannibal Regional Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER DIX (VP FINANCE)
(573) 629-1609
Entity
Organization
Contact information
Practice address
3145 HIGHWAY 61, SUITE A, HANNIBAL, MO 63401-6588
(573) 629-3370
(573) 406-5750
Mailing address
6500 HOSPITAL DR, P O BOX 1239, HANNIBAL, MO 63401-6890
(573) 629-3370
(573) 406-5750
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
11/09/2012
Last updated
11/09/2012
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