| Hannibal Clinic @ Center | |
|
401 E Highway 19 Center MO 63436-1044 | |
| (573) 267-3318 | |
| (573) 267-3933 |
| Full Name | Hannibal Clinic @ Center |
|---|---|
| Speciality | Family Medicine |
| Location | 401 E Highway 19, Center, Missouri |
| Authorized Official Name and Position | Michael J Bukstein (PHYSICIAN EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5732313172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hannibal Clinic @ Center 100 Medical Dr Hannibal MO 63401-6877 Ph: (573) 221-5250 | Hannibal Clinic @ Center 401 E Highway 19 Center MO 63436-1044 Ph: (573) 267-3318 |
| NPI Number | 1174757504 |
|---|---|
| Provider Enumeration Date | 05/13/2009 |
| Last Update Date | 04/18/2022 |
| Certification Date | 04/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174757504 | NPI | - | NPPES |
| 500221007 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
Center Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 East Hwy 19, Center, MO 63436 Phone: 573-267-3318 Fax: 573-267-3933 |
Clarity Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21622 Highway 19, Center, MO 63436 Phone: 573-603-1460 Fax: 573-603-1462 |
Blessing Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 E Highway 19, Center, MO 63436 Phone: 573-267-3318 Fax: 573-267-3933 |