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HANNIBAL CLINIC @ PALMYRA
NPI 1962481663
Family Medicine in Palmyra, MO

Active since January 11, 2006
1811 S MAIN ST, PALMYRA, MO 63461(573) 769-2231(573) 769-3953 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, Jun 3, 2020, Apr 24, 2017 (3 updates tracked since 2017).

About Hannibal Clinic @ Palmyra NPPES

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

HANNIBAL CLINIC @ PALMYRA (NPI 1962481663) is a healthcare organization registered as a family medicine in Palmyra, 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

NPI1962481663
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHANNIBAL CLINIC OPERATIONS, L.L.C.
Location Address1811 S MAIN STPalmyra, MO 63461-1961
Mailing Address100 Medical DrHannibal, MO 63401-6877 · (573) 221-5250 · Fax (573) 231-3706
Phone(573) 769-2231
Fax(573) 769-3953
Organization SubpartNo
Authorized OfficialMichael J BuksteinPhysician Exec Director · (573) 231-3172
Enumeration DateJanuary 11, 2006
Last NPPES UpdateApril 18, 20223 updates tracked since enumeration
NPPES CertifiedApril 18, 2022
✔ NPI 1962481663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1811 S MAIN ST, Palmyra, MO 63461
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Other Names 1

Other NameHannibal Clinic @ Palmyra

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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.

ADVANCE HANNIBAL REGIONAL HOSPITAL LLC
Physical Therapist
1811 S MAIN ST
PALMYRA, MO 63461
Marion County (573) 773-3488
DR. DAVID J KNORR D.O.
Family Medicine
1811 S MAIN ST
PALMYRA, MO 63461
Marion County (573) 769-2231
AMBER NICOLE GOTTMAN NP-C
Nurse Practitioner (Family)
1811 S MAIN ST
PALMYRA, MO 63461
Marion County (573) 769-2231
GINA PONTIUS M.D.
Family Medicine
1811 S MAIN ST
PALMYRA, MO 63461
Marion County (573) 769-2231

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 1962481663. It was assigned to this organization in the NPPES registry on January 11, 2006. The provider is also known as Hannibal Clinic @ Palmyra.

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

Hannibal Clinic Operations, L.L.C. is located at 1811 S Main St, Palmyra, MO 63461. The listed phone number is (573) 769-2231.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Hannibal Clinic Operations, L.L.C. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Hannibal Clinic Operations, L.L.C. 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 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.