NPIMap

Organization Active NPI

Hannibal Regional Hospital

Doing business as Hannibal Regional Medical Group Vision Institue

  • Optometrist
  • Hannibal, MO
National Provider Identifier
1508155888
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HANNIBAL REGIONAL HOSPITAL
Doing business as
Hannibal Regional Medical Group Vision Institue
Practice address
1 Northport PLZ
Hannibal, MO 63401-2269
Phone
(573) 221-2646
Fax
(573) 221-4479
NPI assigned
Apr 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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

Authorized official

Name
Roger J Dix
Title
Cfo
Phone
(573) 248-1300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

1 Northport PLZ
Hannibal, MO 63401-2269

Mailing address

PO Box 1239
6500 Hospital Drive
Hannibal, MO 63401-1239
Phone (573) 406-5888

Other names 1

  • Hannibal Regional Medical Group Vision Institue Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Center Family Practice33 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": "1302134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1508155888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1239",
            "address_2": "6500 HOSPITAL DRIVE",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634011239",
            "telephone_number": "573-406-5888",
            "fax_number": "573-406-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NORTHPORT PLZ",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634012269",
            "telephone_number": "573-221-2646",
            "fax_number": "573-221-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANNIBAL REGIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-07",
        "last_updated": "2011-04-07",
        "status": "A",
        "authorized_official_last_name": "DIX",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "573-248-1300"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hannibal Regional Medical Group Vision Institue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hannibal, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; 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.