Active NPI
Hannibal Medical Supplies, LLC
- Durable Medical Equipment & Medical Supplies
- Hannibal, MO
National Provider Identifier
1639324254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 2008034189
- Legal business name
- HANNIBAL MEDICAL SUPPLIES, LLC
- Practice address
- 118 Steam Boat Bend
Hannibal, MO 63401 - Phone
- (573) 231-0556
- Fax
- (573) 231-0358
- NPI assigned
- Nov 24, 2008
- Last updated
- May 13, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard Earl Kempe
- Title
- President/Ceo
- Phone
- (217) 223-8400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 2008034189 | MO | Primary |
Addresses
Primary practice location
118 Steam Boat Bend
Hannibal, MO 63401
Mailing address
118 Steam Boat Bend
Hannibal, MO 63401
Phone (573) 231-0556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930060308 | MO | DME Supplier - Medical Supply Company | 9931307576 | Practice locations: Hannibal, MO |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Multi-Specialty Clinic/Center
- Hannibal, MO
- NPI 1003956095
Member Of
-
dba Denman Medical Services
- Durable Medical Equipment & Medical Supplies
- Quincy, IL
- NPI 1003968553
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242172800000",
"number": "1639324254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 STEAM BOAT BEND",
"city": "HANNIBAL",
"state": "MO",
"postal_code": "63401",
"telephone_number": "573-231-0556",
"fax_number": "573-231-0358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 STEAM BOAT BEND",
"city": "HANNIBAL",
"state": "MO",
"postal_code": "63401",
"telephone_number": "573-231-0556",
"fax_number": "573-231-0358"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HANNIBAL MEDICAL SUPPLIES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-24",
"last_updated": "2009-05-13",
"status": "A",
"authorized_official_last_name": "KEMPE",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "EARL",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "217-223-8400",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MO",
"license": "2008034189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hannibal, MO
- Hannibal Council on Alcohol & Drug Abuse
- Hannibal Council on Alcohol & Drug Abuse
- Hannibal Council on Alcohol and Drug Abuse
- Hannibal Dental Group
- Hannibal Health & Rehabilitation Center, Inc.
- Hannibal Mobile Diagnostics, LLC
- Hannibal Regional Healthcare System Inc
- Hannibal Regional Healthcare System Inc (Hannibal Regional Inpatient Rehabilitation)
- Hannibal Regional Healthcare System, Inc (Hannibal Regional Medical Group)
- Hannibal Regional Healthcare System, Inc (Hannibal Regional Medical Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.