EXPRESS CARE AT WALMART
NPI 1083154991
Clinic/Center - Rural Health in Hannibal, MO

Q: What is Hannibal Regional Healthcare System,inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since February 27, 2017CLIA 26D2029622 · Waiver

3650 STARDUST DR, HANNIBAL, MO 63401(573) 231-0660(573) 231-0687 Get Directions Write a Review

NPPES record last updated: February 27, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Express Care At Walmart NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EXPRESS CARE AT WALMART (NPI 1083154991) is a healthcare organization registered as a rural health in Hannibal, Missouri and active in the NPI registry since February 2017. The organization holds a CLIA Waiver certificate valid through September 11, 2027 and lists Robert Gasaway, Cfo, as its authorized official.

NPPES Registry Identity

NPI1083154991

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameHANNIBAL REGIONAL HEALTHCARE SYSTEM,INC

Location Address3650 STARDUST DRHannibal, MO 63401-2480

Mailing AddressPo Box 801222Kansas City, MO 64180-1222 · (573) 248-5672 · Fax (573) 248-5448

Phone(573) 231-0660

Fax(573) 231-0687

Organization SubpartNo

Authorized OfficialRobert GasawayCfo · (573) 406-1609

Enumeration DateFebruary 27, 2017

✔ NPI 1083154991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

3650 STARDUST DR, Hannibal, MO 63401

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Other Names 1

Doing Business AsExpress Care At Walmart

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2029622

Express Care At Walmart · Hannibal, MO

Active · expires Sep 11, 2027

CLIA Number26D2029622

Laboratory TypeCommunity Clinic

Certificate Effective DateSeptember 12, 2025

Certificate Expiration DateSeptember 11, 2027

Laboratory DirectorAdam E. Samaritoni

Laboratory Phone(573) 248-5151

Laboratory LocationExpress Care At Walmart3650 Stardust Drive, Hannibal, MO 63401

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAUL TRACY OD

Optometrist