Hannibal Clinic @ Bowling Green
LBN: Hannibal Clinic Operations, L.L.C.
Hannibal Clinic @ Bowling Green is an health care organization with primary practice located at 710 Business Highway 61 South , Bowling Green MO 63334-5239. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty.
Hannibal Clinic Operations, L.L.C. can be contacted via phone (573) 324-2063, or through Bukstein, Michael J via phone (573) 231-3172.
Contact Information
Primary practice address
710 Business Highway 61 South
Bowling Green MO 63334-5239
Phone: (573) 324-2063
Fax: (573) 324-2167
Website:
Authorized official contact:
Name: Bukstein, Michael J Doctor of Medicine (MD)
Phone: (573) 231-3172
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X |
Profile Details
| NPI number | 1215916911 |
|---|---|
| LBN Legal business name | Hannibal Clinic Operations, L.L.C. |
| DBA Doing business as | Hannibal Clinic @ Bowling Green |
| Authorized official | Bukstein, Michael J Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 11th, 2006 |
| Last updated | Apr 18th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215916911 | NPPES |
| Missouri | MEDICAID | 500221007 |
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