| Hannibal Clinic Operations, L.l.c. | |
|
1811 S Main St Palmyra MO 63461-1961 | |
| (573) 769-2231 | |
| (573) 769-3953 |
| Full Name | Hannibal Clinic Operations, L.l.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 1811 S Main St, Palmyra, Missouri |
| Authorized Official Name and Position | Michael J Bukstein (PHYSICIAN EXEC DIRECTOR) |
| Authorized Official Contact | 5732313172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hannibal Clinic Operations, L.l.c. 100 Medical Dr Hannibal MO 63401-6877 Ph: (573) 221-5250 | Hannibal Clinic Operations, L.l.c. 1811 S Main St Palmyra MO 63461-1961 Ph: (573) 769-2231 |
| NPI Number | 1962481663 |
|---|---|
| Provider Enumeration Date | 01/11/2006 |
| Last Update Date | 04/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962481663 | NPI | - | NPPES |
| 500221007 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Blessing Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6996 County Road 326, Palmyra, MO 63461 Phone: 573-769-3710 Fax: 573-769-3753 | |
Blessing Corporate Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6996 County Road 326, Palmyra, MO 63461 Phone: 573-769-3710 Fax: 573-769-3753 |