Organization
HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC.
Active
Other names
Hannibal Regional Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DIX ROGER (CFO)
(573) 248-1300
Entity
Organization
Contact information
Practice address
101 E WASHINGTON ST, PITTSFIELD, IL 62363-1436
(217) 285-5012
(217) 285-4519
Mailing address
6500 HOSPITAL DR, P O BOX 1239, HANNIBAL, MO 63401-6890
(573) 406-5888
(573) 406-5889
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046009247
IL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/11/2011
Last updated
11/06/2014
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