Hannibal Clinic Operations, L.L.C.

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

HANNIBAL CLINIC OPERATIONS, L.L.C.

Practice address

821 Highway 24 and 36 E
Monroe City, MO 63456-1470

Phone

(573) 735-2506

Fax

(573) 231-3706

NPI assigned

Jan 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Randy Jobe

Title

Administrator

Phone

(573) 231-3172

Specialties & licenses 1

Addresses

Other names 1

• Monroe City Family Practice Other name

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Blessing Corporate Services Inc

  • Multi-Specialty Clinic/Center
  • Quincy, IL
  • NPI 1851311641

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591142400000",
    "number": "1477532182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL DR",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634016877",
            "telephone_number": "573-221-5250",
            "fax_number": "573-231-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 HIGHWAY 24 AND 36 E",
            "city": "MONROE CITY",
            "state": "MO",
            "postal_code": "634561470",
            "telephone_number": "573-735-2506",
            "fax_number": "573-231-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANNIBAL CLINIC OPERATIONS, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A",
        "authorized_official_last_name": "JOBE",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-231-3172",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monroe City Family Practice",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Monroe City Family Practice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gateway Pharmacy
• Gateway Pharmacy of Monroe City
• Gosney Pharmacy Inc
• Karen J Grawe, FNP-BC
• Hannibal Clinic Operations, L.L.C.
• Hannibal Regional Healthcare System, Inc
• Dean Richard Hull, DDS
• Ashley Marie Lanpher, RN BSN APRN FNP-C
• Learning Opportunities, Quality Works, Inc.
• Alyssa Long

• All providers in Monroe City, MO
• Podiatrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.