NPIMap

Organization Active NPI

Hannibal Regional Hospital

  • Primary Care Clinic/Center
  • Center, MO
National Provider Identifier
1073532560
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HANNIBAL REGIONAL HOSPITAL
Practice address
401 East Hwy 19
Center, MO 63436
Phone
(573) 267-3318
Fax
(573) 267-3933
NPI assigned
Jul 18, 2006
Last updated
May 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rob Gasaway
Title
VP of Finance
Phone
(573) 406-1608

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

401 East Hwy 19
Center, MO 63436

Mailing address

PO Box 1239
Hannibal, MO 63401-1239
Phone (573) 221-3415

Other names 1

  • Center Family Practice Other name

National Provider Directory

National Provider Directory
Tax ID family
Hannibal Regional Hosp33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1073532560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1239",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634011239",
            "telephone_number": "573-221-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 EAST HWY 19",
            "city": "CENTER",
            "state": "MO",
            "postal_code": "63436",
            "telephone_number": "573-267-3318",
            "fax_number": "573-267-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANNIBAL REGIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A",
        "authorized_official_last_name": "GASAWAY",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "573-406-1608"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center Family Practice",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Center Family Practice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Center, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.