HANNIBAL REGIONAL HEALTHCARE SYSTEM INC NPI 1558389189

NPI Information

NPI: 1558389189
Provider Name: HANNIBAL REGIONAL HEALTHCARE SYSTEM INC

Doing Business As: PIKE MEDICAL CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
211 S 3RD ST
LOUISIANA, MO
ZIP 63353
Phone: (573) 754-5555
Get Directions

HANNIBAL REGIONAL HEALTHCARE SYSTEM INC is a rural health clinic center in Louisiana, MO. HANNIBAL REGIONAL HEALTHCARE SYSTEM INC NPI is 1558389189. The provider is registered as an organization entity type.
The provider Is Doing Business As Pike Medical Clinic.

The provider's business location address is:

211 S 3RD ST
LOUISIANA, MO
ZIP 63353-000
Phone: (573) 754-5555
Fax: (573) 754-4077

The provider's authorized official is Roger J Dix .
The authorized official title is Cfo and has the following contact phone number (573) 248-1300.

The CLIA number assigned to this NPI record is 26D0690681 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 2/3/2015.

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
1	261QR1300X	Clinic/Center	Rural Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	268723	MEDICARE OSCAR/CERTIFICATION	MISSOURI
2	598051407	MEDICAID	MISSOURI

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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »