Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hannibal Regional Hospital

Organization Athletic Trainer · NPI 1174585103

Hannibal Regional Hospital is an Athletic Trainer in Hannibal, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006

Practice location Address checks out

188A Medical Dr
Hannibal, MO 63401-6877
Phone: (573) 406-0576
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2002030211 (MO)

Record details

NPI number1174585103
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carol Jaco — Sr. Vice President Of Patient Care · (573) 248-5257
NPI enumeratedApril 5, 2006
Last updated in NPPESAugust 22, 2020
Mailing address4537 W Ely Rd, 804, Hannibal, MO 63401-2546

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