Hannibal Regional Healthcare System Inc
Organization Active NPI Rehabilitation Hospital Unit · Hannibal, MO
NPI 1033596234 · NPPES record last updated May 25, 2021
Key facts
- NPI
- 1033596234
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Hospital Unit 273Y00000X
- Legal business name
- HANNIBAL REGIONAL HEALTHCARE SYSTEM INC
- Practice address
- 6000 Hospital Dr
Hannibal, MO 63401-6887 - Phone
- (573) 406-1609
- NPI assigned
- Apr 27, 2015
- Organization subpart
- No
Authorized official
- Name
- Rob Gasaway
- Title
- VP of Finance
- Phone
- (573) 406-1608
Owners & managing parties with NPI records 15
Owned or controlled facilities with NPI records 12
Other NPIs with the same Medicare PAC ID 15
Corporate family (same tax ID) 32
Related certifications (CCN) 1
Facilities with the same owner 12
Practitioners 256
-
Ma'En Nayef Al-Dabbas, M.D.
-
Noureen Asghar, MD
-
Trevor C Axford, MD
-
Saima Azad, MD
-
Kaytln Baker, FNP-C
-
Deborah A Baumann, M.D.
-
Branislav D Behan, M.D.
-
Hassan Behniay, M.D
-
Aurora C. Bell, DO
-
John R Bennett, M.D.
-
Sanjay T Bhat, M.D.
-
Ann Marie Bibbs, MSN, RN, NP-C
-
Carolyn Ann Blackburn, FNP-C
-
Kory Dane Blank, M.D
-
Rebekah Marie Blank, PA-C
-
Andrew Lucas Bozarth, M.D.
-
Nicole Suzanne Bradshaw, FNP-C
-
Thomas A Bragg, D.O.
-
Chad K Brands, M.D.
-
Lillian Jean Bruner, NP-C
-
Matthew C Bunte, MD
Affiliated clinicians 5
-
Edward A Cline, DPM
-
Aakash Kaushik, MD
-
Prashanth Podaralla, M.D.
Medicare Care Compare: Inpatient rehabilitation facility
- Listed as
- Hannibal Regional Healthcare System
- Ownership
- Non-profit
- Certified
- Oct 1, 2015
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Hospital certification: CCN 26T025
- Legal name
- HANNIBAL REGIONAL HEALTHCARE SYSTEM INC
- Doing business as
- HANNIBAL REGIONAL INPATIENT REHABILITATION
- Organization structure
- Corporation · Non-profit
- Incorporated
- Aug 6, 1965 in MO
- Enrollment address
- 6000 Hospital Dr
Hannibal, MO 63401-6887 - Hospital subgroups
- Rehabilitation unit
All disclosed owners & managing parties 3
| Name | Role | Since | Share |
|---|---|---|---|
| Hannibal Regional Healthcare System Inc |
5% Or Greater Direct Ownership Interest | Nov 20, 2014 | 100% |
| Operational/Managerial Control | Apr 1, 2014 | 100% | |
| Robert N Gasaway |
Corporate Officer |
Feb 6, 2017 | |
| W-2 Managing Employee |
Feb 6, 2017 | ||
| Christopher T Ahrens |
Corporate Officer |
Oct 1, 2012 | |
| W-2 Managing Employee |
Oct 1, 2012 | ||
| Operational/Managerial Control |
Oct 1, 2012 |
All facility ownership & control disclosures 12
| Facility | Type | Role | Since |
|---|---|---|---|
| Hannibal Regional Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Nov 20, 2014 Apr 1, 2014 |
| Hannibal Regional Hospital Home Health Agency |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Feb 22, 2012 Feb 6, 2017 |
| Monroe City Family Practice |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Apr 1, 2014 Apr 1, 2014 |
| Shelbina Family Practice |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Apr 1, 2014 Apr 1, 2014 |
| Canton-Lagrange Family Practice |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Apr 3, 1992 Apr 30, 1992 |
| Pike Medical Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Apr 1, 2014 Apr 1, 2014 |
| Hannibal Regional Medical Group-Bowling Green |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Apr 1, 2014 Apr 1, 2014 |
| Hannibal Regional Medical Group |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2016 |
| Express Care at Walmart |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Nov 1, 2016 Oct 1, 2012 |
| Complete Family Medicine Lancaster RHC |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jul 3, 2017 Jul 3, 2017 |
| Complete Family Medicine la Plata RHC |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jul 3, 2017 Jul 3, 2017 |
| Complete Family Medicine Kirksville RHC |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jul 3, 2017 Jul 3, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150507000290 | MO | Part a Provider - Hospital | 1254236300 | Practice locations: Hannibal, MO |
National Provider Directory
- Tax ID family
- Center Family Practice
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital Unit | 273Y00000X | Yes |
Addresses
Primary practice location
6000 Hospital Dr
Hannibal, MO 63401-6887
Mailing address
6000 Hospital Dr
Hannibal, MO 63401-6887
Phone (573) 406-1609
Other names
- Hannibal Regional Inpatient Rehabilitation
Other providers in Hannibal, MO
- Hannibal Dental Group
- Hannibal Health & Rehabilitation Center, Inc.
- Hannibal Medical Supplies, LLC
- Hannibal Mobile Diagnostics, LLC
- Hannibal Regional Healthcare System Inc
- Hannibal Regional Healthcare System, Inc
- Hannibal Regional Healthcare System, Inc
- Hannibal Regional Healthcare System, Inc
- Hannibal Regional Healthcare System, Inc
- Hannibal Regional Healthcare System,Inc
All providers in Hannibal, MO · Rehabilitation Hospital Unit in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.