HANNIBAL CLINIC @ BOWLING GREEN
NPI 1215916911
Family Medicine in Hannibal,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 11, 2006

Contact Information

100 Medical Dr
Hannibal,
Post Code: 63401
Phone: (573) 221-5250
Fax: (573) 231-3706

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Hannibal Clinic @ Bowling Green in Hannibal - Family Medicine

Hannibal Clinic @ Bowling Green is a Family Medicine in Hannibal, . Hannibal Clinic @ Bowling Green practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Hannibal Clinic @ Bowling Green is 1215916911. The last update date is 2022-04-18.

Hannibal Clinic @ Bowling Green's current location address is 100 Medical Dr, Hannibal, . You can contact this provider via phone number (573) 221-5250 and fax number (573) 231-3706. The mailing address for Hannibal Clinic @ Bowling Green is 100 Medical Dr, Hannibal, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1215916911
Provider Legal Name
HANNIBAL CLINIC OPERATIONS, L.L.C.
Other Organization Name
HANNIBAL CLINIC @ BOWLING GREEN
Other Name Type
Other Name(5)
Entity Type
Organization
Location Address
100 Medical Dr, Hannibal,
Location Phone
(573) 221-5250
Location Fax
(573) 231-3706
Mailing Address
710 Business Highway 61 South, Bowling Green, Missouri(MO)
Mailing Phone
573-324-2063
Mailing Fax
573-324-2167
Enumeration Date
2006-01-11
Last Update Date
2022-04-18
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center, Rural Health

Taxonomy Code
261QR1300X
Type
-
License No.
-
License State
-
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 207Q00000X Family Medicine Physician

Family Medicine

()

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
500221007 MEDICAID (05) Missouri (MO)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1215916911
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22251811292
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 22251811292
2 + 2 + 2 + 5 + 1 + 8 + 1 + 1 + 2 + 9 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 1 1

The NPI number 1215916911 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205839354 EMIL A DIFILIPPO
Individual
Orthopaedic Surgery 9323 PHOENIX VILLAGE PKWY
O FALLON, Missouri (MO)
636-561-5030
1124021142 MARK H DEWOLFE
Individual
Internal Medicine, Hematology & Oncology 5400 N OAK TRFY
KANSAS CITY, Missouri (MO)
816-454-1658
1184627101 YAN CHEN
Individual
Specialist 17501 E 40 HWY
INDEPENDENCE, Missouri (MO)
816-478-4887
1144223355 HANNAH-NGOC T HA
Individual
Surgery 12401 OLIVE BLVD STE 202
CREVE COEUR, Missouri (MO)
314-834-2888
1205839404 MUHAMMAD TAUQUIR YASIN
Individual
Surgery, Surgical Critical Care 11133 DUNN RD
SAINT LOUIS, Missouri (MO)
314-953-8300