Organization · Type 2 NPI

Hannibal Regional Hospital

Multi-Specialty Clinic/Center · Hannibal, MO

NPI number 1245510221 Active

Practice location

3650 Stardust Dr
Hannibal, MO 63401-2480

Call (573) 231-0660 Map

Fax (573) 231-0687

Mailing address

6500 Hospital Dr, P O Box 1239
Hannibal, MO 63401-6890

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed

Multi-Specialty Clinic/Center: Definition to come...

12 other providers at this address

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NPI record

NPI: 1245510221
Entity type: Organization (Type 2)
Issued: Aug 23, 2011
Last updated: Aug 23, 2011
Status: Active

Other names

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Hannibal Regional Medical Group the Clinic at Walmart · doing business as

Authorized official

Stephen J Keppner
GRP Dir Patient Financial Service
(573) 248-5460

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1245510221

Hannibal Regional Hospital's National Provider Identifier is 1245510221, issued on Aug 23, 2011. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Hannibal, MO. The record was last updated on Aug 23, 2011.