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SHELBINA FAMILY PRACTICE
NPI 1174542682
Clinic/Center - Rural Health in Shelbina, MO

Active since July 18, 2006CLIA 26D0712511 · Waiver
400 S CENTER ST, SHELBINA, MO 63468(573) 588-4131(573) 588-4876 Get Directions Write a Review

NPPES record last updated: October 2, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shelbina Family Practice NPPES

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

SHELBINA FAMILY PRACTICE (NPI 1174542682) is a healthcare organization registered as a rural health in Shelbina, Missouri and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through October 8, 2027 and lists Roger J Dix, Cfo, as its authorized official.

NPPES Registry Identity

NPI1174542682
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameHANNIBAL REGIONAL HEALTHCARE SYSTEM, INC
Location Address400 S CENTER STShelbina, MO 63468-1404
Mailing Address6000 Hospital DriveHannibal, MO 63401-0551 · (573) 248-1300
Phone(573) 588-4131
Fax(573) 588-4876
Organization SubpartNo
Authorized OfficialRoger J DixCfo · (573) 248-1300
Enumeration DateJuly 18, 2006
Last NPPES UpdateOctober 2, 2014
✔ NPI 1174542682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
400 S CENTER ST, Shelbina, MO 63468
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Other Names 1

Doing Business AsShelbina Family Practice

Other Identifiers 2

Medicaid598949808MO
Medicare OSCAR/certification268512MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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 26D0712511

Shelbina Family Practice · Shelbina, MO
Active · expires Oct 8, 2027
CLIA Number26D0712511
Laboratory TypeRural Health Clinic
Certificate Effective DateOctober 9, 2025
Certificate Expiration DateOctober 8, 2027
Laboratory DirectorElliott L. Strube
Laboratory Phone(573) 588-4131
Laboratory LocationShelbina Family Practice400 South Center Street, Shelbina, MO 63468
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

LACOSTA KAY GAINES DNP, APRN, FNP-C
Nurse Practitioner (Family)
400 S CENTER ST
SHELBINA, MO 63468
Shelby County (573) 588-4131
HANNIBAL REGIONAL HEALTH CARE SYSTEM
Clinic/Center (Health Service)
400 S CENTER ST
SHELBINA, MO 63468
Shelby County (573) 588-4131
DR. DAVID F. OUELLETTE M.D.
Family Medicine
400 S CENTER ST
SHELBINA, MO 63468
Shelby County (573) 588-4131
DR. WENDELL ALLAN NICKERSON D.O.
Family Medicine
400 S CENTER ST
SHELBINA, MO 63468
Shelby County (573) 588-4131

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hannibal Regional Healthcare System, Inc's NPI number?

The NPI number for Hannibal Regional Healthcare System, Inc is 1174542682. It was assigned to this organization in the NPPES registry on July 18, 2006. The provider is doing business as Shelbina Family Practice.

Where is Hannibal Regional Healthcare System, Inc located?

Hannibal Regional Healthcare System, Inc is located at 400 S Center St, Shelbina, MO 63468. The listed phone number is (573) 588-4131.

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.

Does Hannibal Regional Healthcare System, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0712511) is associated with this NPI, valid through October 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hannibal Regional Healthcare System, Inc accept?

Health plans from Anthem Blue Cross and Blue Shield list Hannibal Regional Healthcare System, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hannibal Regional Healthcare System, Inc was last updated on October 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.