Organization
HANNIBAL CLINIC OPERATIONS, L.L.C.
Active
Parent organization
HANNIBAL CLINIC OPERATIONS, L.L.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
HANNIBAL CLINIC OPERATIONS, L.L.C.
Authorized official
MICHAEL J BUKSTEIN MD (PHYSICIAN EXEC DIRECTOR)
(573) 231-3172
Entity
Organization
Contact information
Practice address
100 MEDICAL DR, HANNIBAL, MO 63401-6877
(573) 221-5250
(573) 231-3706
Mailing address
100 MEDICAL DR, HANNIBAL, MO 63401-6877
(573) 221-5250
(573) 231-3706
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/23/2015
Last updated
04/18/2022
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