Organization Name: | HANNIBAL REGIONAL HOSPITAL |
NPI Number: | 1073532560 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROGER J DIX (CFO) |
Mailing Address: | 401 East Hwy 19 Center |
State: | MO US |
Postal Code: | 63436 |
Phone Number: | 5732673318 |
Fax Number: | 5732673933 |
NPI Enumeration Date: | 07/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |