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SCH260025-11 HANNIBAL REGIONAL HOSPITAL (Active)
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Main Details
Name
HANNIBAL REGIONAL HOSPITAL
Subdivision Name
James E. Cary Cancer Center - Radiation Therapy
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH260025-11
Medicare Provider Number
260025
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/17/2023
Participating Start Date
10/1/2023
Participating Approval Date
9/14/2023
Last Recertification Date
8/14/2024
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
5985 Hospital Drive
Hannibal, MO 63401
Billing Address
Hannibal Regional Hospital
6000 Hospital Drive
Hannibal, MO 63401
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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