HANNIBAL CLINIC @ BOWLING GREEN
NPI 1215916911
Clinic/Center - Rural Health in Bowling Green, MO

Active since January 11, 2006
710 BUSINESS HIGHWAY 61 SOUTH, BOWLING GREEN, MO 63334(573) 324-2063(573) 324-2167 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 18, 2022, Apr 21, 2017 (2 updates tracked since 2017).

About Hannibal Clinic @ Bowling Green NPPES

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

HANNIBAL CLINIC @ BOWLING GREEN (NPI 1215916911) is a healthcare organization registered as a rural health in Bowling Green, Missouri and active in the NPI registry since January 2006. The organization lists Michael J Bukstein, Physician Exec. Director, as its authorized official.

NPPES Registry Identity

NPI1215916911
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameHANNIBAL CLINIC OPERATIONS, L.L.C.
Location Address710 BUSINESS HIGHWAY 61 SOUTHBowling Green, MO 63334-5239
Mailing Address100 Medical Dr, P.o. Box 311Hannibal, MO 63401-6877 · (573) 221-5250 · Fax (573) 231-3706
Fax(573) 324-2167
Organization SubpartNo
Authorized OfficialMichael J BuksteinPhysician Exec. Director · (573) 231-3172
Enumeration DateJanuary 11, 2006
Last NPPES UpdateApril 18, 20222 updates tracked since enumeration
NPPES CertifiedApril 18, 2022
NPI 1215916911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
710 BUSINESS HIGHWAY 61 SOUTH, Bowling Green, MO 63334

Other Names 1

Other NameHannibal Clinic @ Bowling Green

Other Identifiers 1

Medicaid500221007MO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Clinic Operations, L.L.C.'s NPI number?

The NPI number for Hannibal Clinic Operations, L.L.C. is 1215916911. It was assigned to this organization in the NPPES registry on January 11, 2006. The provider is also known as Hannibal Clinic @ Bowling Green.

Where is Hannibal Clinic Operations, L.L.C. located?

Hannibal Clinic Operations, L.L.C. is located at 710 Business Highway 61 South, Bowling Green, MO 63334. The listed phone number is (573) 324-2063.

What is Hannibal Clinic Operations, L.L.C.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Hannibal Clinic Operations, L.L.C. was last updated on April 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.