Canton/Lagrange Family Practice

LBN: Hannibal Regional Healthcare System, Inc
Canton/Lagrange Family Practice is an health care organization with primary practice located at 1802 Elm St , Canton MO 63435-1694. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Hannibal Regional Healthcare System, Inc can be contacted via phone (573) 655-4891, or through Gasaway, Rob via phone (573) 406-1608.

Contact Information

Primary practice address
1802 Elm St Canton MO 63435-1694
Phone: (573) 655-4891
Fax: (573) 288-5361
Website:
Map and Directions
Authorized official contact:
Name: Gasaway, Rob
Phone: (573) 406-1608

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1063431575
LBN Legal business name Hannibal Regional Healthcare System, Inc
DBA Doing business as Canton/Lagrange Family Practice
Authorized official Gasaway, Rob
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 18th, 2006
Last updated May 25th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063431575 NPPES
Missouri MEDICAID 590416004

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