Organization
HANNIBAL REGIONAL HOSPITAL
Active
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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