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SCH260025-00 HANNIBAL REGIONAL HOSPITAL (Active)
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Main Details
Name
HANNIBAL REGIONAL HOSPITAL
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH260025-00
Medicare Provider Number
260025
Additional Details
Current Program Status
Active
Registration Date
7/5/2023
Participating Start Date
10/1/2023
Participating Approval Date
9/14/2023
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Hannibal Regional Healthcare System
Rob Gasaway, VP-Finance/CFO
(573) 406-1608
Primary Contact
Hannibal Regional Healthcare System
Ashley Greger, 340B Coordinator
(573) 406-5915
Addresses
Street Address
6000 HOSPITAL DRIVE
HANNIBAL, MO 63401
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating from effective date: (10/1/2012) until terminated effective date; (10/1/2015); reinstatement effective date: (10/1/2023)
09/14/2023
April 2025
April 2025
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