HEALTHSTAT ON-SITE CLINIC WATLOW HANNIBAL MO
NPI 1720486756
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Hannibal, MO

Active since December 08, 2014
6 INDUSTRIAL LOOP, HANNIBAL, MO 63401(704) 529-6161 Get Directions Write a Review

NPPES record last updated: December 8, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Healthstat On-site Clinic Watlow Hannibal Mo NPPES

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

HEALTHSTAT ON-SITE CLINIC WATLOW HANNIBAL MO (NPI 1720486756) is a healthcare organization registered as a preventive medicine/occupational environmental medicine in Hannibal, Missouri and active in the NPI registry since December 2014. The organization lists Warren Hutton, Coo, as its authorized official.

NPPES Registry Identity

NPI1720486756
Entity TypeOrganization
Primary Taxonomy2083P0500X
Legal Business NameHEALTHSTAT ON-SITE CLINIC WATLOW HANNIBAL MO
Location Address6 INDUSTRIAL LOOPHannibal, MO 63401-6052
Mailing Address4651 Charlotte Park Dr, Suite 300Charlotte, NC 28217-1956
Organization SubpartNo
Authorized OfficialWarren HuttonCoo · (704) 529-6161
Enumeration DateDecember 8, 2014
NPI 1720486756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0500X
Definition

A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

6 INDUSTRIAL LOOP, Hannibal, MO 63401

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Healthstat On-Site Clinic Watlow Hannibal Mo's NPI number?

The NPI number for Healthstat On-Site Clinic Watlow Hannibal Mo is 1720486756. It was assigned to this organization in the NPPES registry on December 8, 2014.

Where is Healthstat On-Site Clinic Watlow Hannibal Mo located?

Healthstat On-Site Clinic Watlow Hannibal Mo is located at 6 Industrial Loop, Hannibal, MO 63401. The listed phone number is (704) 529-6161.

What is Healthstat On-Site Clinic Watlow Hannibal Mo's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

When was this NPI record last updated?

The NPPES record for Healthstat On-Site Clinic Watlow Hannibal Mo was last updated on December 8, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.