MOBERLY HOSPITAL COMPANY LLC (NPI# 1295092419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295092419 |
| Entity Type | Organization |
| Organization Name | MOBERLY HOSPITAL COMPANY LLC |
| Practice Address |
300 N Morley St Ste G/h Moberly MO 65270-2334 |
| Practice Telephone | 6602638400 |
| Mailing Telephone | 6602638400 |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2017-08-24 |
| Authorized Official Name | PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Telephone | 6159254565 |
| Is Organization Subpart | Y |
| Parent Organization Name | MOBERLY HOSPITAL COMPANY LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316070428 | Moberly Hospital Company LLC | Clinic/Center | 1517 Union Ave Ste C, Moberly, MO 65270-9471 | 2007-03-14 |
| 1417080516 | Moberly Hospital Company LLC | Pediatrics | 1501 Union Ave Ste A&b, Moberly, MO 65270-9469 | 2007-03-14 |
| 1619597879 | Moberly Hospital Company LLC | Clinical Medical Laboratory | 1515 Union Ave, Moberly, MO 65270-9407 | 2020-04-17 |
| 1851713580 | Moberly Hospital Company LLC | Clinic/Center | 413 W 2nd St, Salisbury, MO 65281-1405 | 2014-01-15 |
| 1407989510 | Moberly Hospital Company LLC | Clinic/Center | 1501 Union Ave, Suite A & B, Moberly, MO 65270-9469 | 2007-03-14 |
| 1205967486 | Moberly Hospital Company LLC | Emergency Medicine | 1515 Union Ave, Moberly, MO 65270-9407 | 2007-03-08 |
| 1346212784 | Moberly Hospital Company LLC | Medicare Defined Swing Bed Unit | 1515 Union Ave, Moberly, MO 65270-9407 | 2006-02-01 |
| 1275504797 | Moberly Hospital Company LLC | Skilled Nursing Facility | 1515 Union Ave, Moberly, MO 65270-9407 | 2006-02-01 |
| 1366413882 | Moberly Hospital Company LLC | Psychiatric Unit | 1515 Union Ave, Moberly, MO 65270-9407 | 2006-02-01 |
| 1770554305 | Moberly Hospital Company LLC | General Acute Care Hospital | 1515 Union Ave, Moberly, MO 65270-9407 | 2006-01-31 |
| Street Address |
300 N MORLEY ST STE G/H |
| City | MOBERLY |
| State | MO |
| Zip Code | 65270-2334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962401430 | Randy A Foster | Family Medicine | 300 N Morley St, Suite G, Moberly, MO 65270-2334 | 2005-07-18 |
| 1659987584 | Sams Prescription Shop Inc | Pharmacy | 300 N Morley St, Moberly, MO 65270-2334 | 2020-09-16 |
| 1558970475 | Brandie Lynn Wilkerson | Pharmacist | 300 N Morley St, Moberly, MO 65270-2334 | 2020-07-27 |
| 1609233956 | Rhonda Cachero | Pharmacist | 300 N Morley St, Moberly, MO 65270-2334 | 2016-01-18 |
| 1336464361 | Jill R Darwent | Pharmacist | 300 N Morley St, Moberly, MO 65270-0957 | 2010-04-01 |
| 1972828242 | Salim S Tadrus | Pharmacist | 300 N Morley St, Moberly, MO 65270-2334 | 2010-03-30 |
| 1578896049 | Frederic Lee Gottman | Physical Therapist | 300 N Morley St, Moberly, MO 65270-2334 | 2009-09-15 |
| 1336390822 | Kathleen A Kinnaman | Nurse Practitioner | 300 N Morley St, Ste A-c, Moberly, MO 65270-2334 | 2008-10-02 |
| 1134137391 | Foster Family Medicine & Associates LLC | Family Medicine | 300 N Morley St, Moberly, MO 65270-2334 | 2006-08-04 |
| 1568453397 | Sams Prescription Shop Inc | Pharmacy | 300 N Morley St, Moberly, MO 65270-2334 | 2005-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538628052 | Thomas Johnston | Physical Therapist | Thrive Physical Therapy, LLC, 417 E Urbandale Drive, Moberly, MO 65270 | 2019-03-14 |
| 1245709682 | Sam's Prescription Shop, Inc. | Durable Medical Equipment & Medical Supplies | 300 N. Morley Street, Moberly, MO 65270 | 2018-11-15 |
| 1639324585 | Trinidad J. Aguilera | General Practice | 5201 South Morley, Moberly, MO 65270 | 2008-11-19 |
| 1023270170 | Jessica Winn | Internal Medicine | 1513 Union Ave Ste 1500, Moberly, MO 65270 | 2008-06-30 |
| 1629237383 | Heather Ann Lavalley | Physical Therapy Assistant | 1346 S Morley, Moberly, MO 65270 | 2008-06-06 |
| 1265602429 | Mckenzie Prescription Center Inc | Hearing Aid Equipment | 643 N Morley St Ste A, Moberly, MO 65270 | 2008-03-04 |
| 1366624165 | Sharon Kay Steele | Military Hospital | 1510 Highway Jj Lot41, Moberly, MO 65270 | 2007-12-04 |
| 1932241536 | Christian S Tadrus | Pharmacist | 530 E. 24 Highway, (26-39586), Moberly, MO 65270 | 2007-02-12 |
| 1588700140 | Heartland Neurology, LLC | Psychiatry & Neurology | 300 N. Morley, Suite H, Moberly, MO 65270 | 2007-01-30 |
| 1164571519 | John James Oloughlin | Dentist | 1616 N Morely, Ste B, Moberly, MO 65270 | 2007-01-08 |
| Find all providers in zip 65270 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316070428 | Moberly Hospital Company LLC | Clinic/Center | 1517 Union Ave Ste C, Moberly, MO 65270-9471 | 2007-03-14 |
| 1326574567 | Randolph County Health Department | Clinic/Center | 1319 E Highway 24, Moberly, MO 65270-3682 | 2017-05-09 |
| 1811063936 | Physician Groups, Lc | Clinic/Center | 1600 N Morley St, Suite A120, Moberly, MO 65270-3666 | 2006-11-28 |
| 1194805267 | Randolph County Health Department | Clinic/Center | 1319 E Highway 24, Moberly, MO 65270-3682 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102137 | Washington County Memorial Hospital | Clinic/Center | 14206 Hwy C, Belgrade, MO 63622 | 2020-07-23 |
| 1891325072 | Scotland County Memorial Hospital | Clinic/Center | 55682 State Highway 6 Ste A, Edina, MO 63537-4268 | 2020-01-16 |
| 1639736457 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 800 Us Highway 61, New Madrid, MO 63869-1106 | 2019-05-28 |
| 1134633456 | Pike County Memorial Hospital | Clinic/Center | 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 | 2017-11-22 |
| 1720505894 | Perry County Health System | Clinic/Center | 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 | 2017-08-29 |
| 1427572007 | Missouri Delta Medical Center | Clinic/Center | 209 W Yoakum Ave, Chaffee, MO 63740-1138 | 2017-07-26 |
| 1790213676 | Jackson Primary Care LLC | Clinic/Center | 2685 E Main St Ste A, Jackson, MO 63755-2474 | 2017-05-23 |
| 1972050581 | Sgoh Acquisition, Inc. | Clinic/Center | 912b State Highway 59, Goodman, MO 64843-8252 | 2016-09-01 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1669856829 | Ssm Regional Health Services | Clinic/Center | 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 | 2015-07-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.