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MOBERLY HOSPITAL COMPANY LLC NPI 1407989510


NPI Information

NPI: 1407989510
Provider Name: MOBERLY HOSPITAL COMPANY LLC

Doing Business As: MOBERLY RURAL HEALTH CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 26D0966180

Address:
1501 UNION AVE
SUITE A & B
MOBERLY, MO
ZIP 65270
Phone: (660) 263-9095
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MOBERLY HOSPITAL COMPANY LLC is a rural health clinic center in Moberly, MO. MOBERLY HOSPITAL COMPANY LLC NPI is 1407989510. The provider is registered as an organization entity type.
The provider Is Doing Business As Moberly Rural Health Clinic.

The provider's business location address is:

1501 UNION AVE
SUITE A & B
MOBERLY, MO
ZIP 65270-469
Phone: (660) 263-9095
Fax: (660) 263-0054

The provider's authorized official is Paula M Lalor .
The authorized official title is Director / Delegated Official and has the following contact phone number (629) 215-3953.

The CLIA number assigned to this NPI record is 26D0966180 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 4/16/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterNo
2261QR1300XClinic/CenterRural HealthMISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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