Organization
HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC
Active
Other names
Hannibal Regional Hospital Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT N GASAWAY (CFO)
(573) 406-1609
Entity
Organization
Contact information
Practice address
4601 HIGHWAY MM, HANNIBAL, MO 63401-6918
(573) 221-6515
Mailing address
PO BOX 1239, HANNIBAL, MO 63401-1239
(573) 406-1609
(573) 406-1616
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
580416006
—
MO
Enumeration date
07/21/2006
Last updated
08/15/2019
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