Organization
HANNIBAL REGIONAL HEALTHCARE SYSTEM INC
Active
Other names
Pike Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER J DIX (CFO)
(573) 248-1300
Entity
Organization
Contact information
Practice address
211 S 3RD ST, LOUISIANA, MO 63353-2000
(573) 754-5555
(573) 754-4077
Mailing address
6000 HOSPITAL DR, HANNIBAL, MO 63401-6887
(573) 248-1300
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
598051407
—
MO
Enumeration date
07/18/2006
Last updated
02/03/2015
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