HANNIBAL REGIONAL HOSPITAL NPI 1245510221

NPI Information

  • NPI: 1245510221
  • Provider Name: HANNIBAL REGIONAL HOSPITAL
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Doing Business As: HANNIBAL REGIONAL MEDICAL GROUP THE CLINIC AT WALMART
  • Address: 3650 STARDUST DR
    HANNIBAL, MO
    ZIP 63401
  • Phone: (573) 231-0660

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NPI Details

HANNIBAL REGIONAL HOSPITAL is a multi-specialty clinic center in Hannibal, MO. HANNIBAL REGIONAL HOSPITAL NPI is 1245510221. The provider is registered as an organization entity type.
The provider Is Doing Business As Hannibal Regional Medical Group The Clinic At Walmart.

The provider's business location address is:

3650 STARDUST DR
HANNIBAL, MO
ZIP 63401-480
Phone: (573) 231-0660
Fax: (573) 231-0687

The provider's authorized official is Stephen J Keppner .
The authorized official title is Grp Dir Patient Financial Service and has the following contact phone number (573) 248-5460.

The enumeration date for this NPI number is 8/23/2011 and was last updated on 8/23/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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