Hannibal Council on Alcohol & Drug Abuse

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

HANNIBAL COUNCIL ON ALCOHOL & DRUG ABUSE

Practice address

146 Communication Drive
Hannibal, MO 63401

Phone

(573) 248-1196

Fax

(573) 231-0982

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Jennifer Jo Wilson

Title

Executive Director

Phone

(573) 248-1196

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Hannibal Council on Alcohol Drug Abuse4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Hannibal Council on Alcohol & Drug Abuse

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Hannibal, MO
  • NPI 1225475262
  NPD tax ID
• Hannibal Council on Alcohol & Drug Abuse

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Hannibal, MO
  • NPI 1659718609
  NPD tax ID
• Hannibal Council on Alcohol and Drug Abuse

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Hannibal, MO
  • NPI 1740636067
  NPD tax ID

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369785600000",
    "number": "1871626440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 COMMUNICATION DRIVE",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "63401",
            "telephone_number": "573-248-1196",
            "fax_number": "573-231-0982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 COMMUNICATION DRIVE",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "63401",
            "telephone_number": "573-248-1196",
            "fax_number": "573-231-0982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANNIBAL COUNCIL ON ALCOHOL & DRUG ABUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2013-05-29",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "573-248-1196"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMH VENDOR NUMBER",
            "identifier": "8001749",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "866203102",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannibal Clinic Operations, L.L.C
• Hannibal Clinic Operations, L.L.C.
• Hannibal Clinic Operations, L.L.C.
• 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 Medical Supplies, LLC
• Hannibal Mobile Diagnostics, LLC

• Substance Abuse Rehabilitation Facility in Hannibal, MO
• Providers in Hannibal, MO by specialty
• Substance Abuse Rehabilitation Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; 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.