OrganizationActive
Hannibal Regional Hospital
NPI 1174585103 · Athletic Trainer · Hannibal, MO
Provider details
- NPI number
- 1174585103
- Entity type
- Organization
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Carol Jaco, Sr. Vice President of Patient Care(573) 248-5257
- License
- 2002030211 (MO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
188a Medical Dr
Hannibal, MO 63401-6877
Phone: (573) 406-0576
Approximate (ZIP-level) locationGet directions
Mailing address
4537 W Ely Rd
Hannibal, MO 63401-2546
Registry dates
- Enumerated
- 2006-04-05
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.