Active NPI
Moberly Hospital Company LLC
Doing business as Moberly Regional Medical Center
- Skilled Nursing Facility
- Moberly, MO
National Provider Identifier
1275504797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 423-9
- Legal business name
- MOBERLY HOSPITAL COMPANY LLC
- Doing business as
- Moberly Regional Medical Center
- Practice address
- 1515 Union Ave
Moberly, MO 65270-9407 - Phone
- (660) 263-8400
- NPI assigned
- Feb 1, 2006
- Last updated
- Feb 15, 2008
- Organization subpart
- Yes
- Parent organization
- MOBERLY HOSPITAL INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Portacci
- Title
- Senior VP, Group Operations
- Phone
- (888) 373-9600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 423-9 | MO | Primary |
Addresses
Primary practice location
1515 Union Ave
Moberly, MO 65270-9407
Mailing address
PO Box 60856
Saint Louis, MO 63160-0856
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110450 | Other | MO | BLUE CROSS |
Other names 1
- Moberly Regional Medical Center
National Provider Directory
National Provider Directory- Part of
- Moberly Regional Medica
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Moberly Regional Medical Center
- General Acute Care Hospital
- Moberly, MO
- NPI 1770554305
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203033600000",
"number": "1275504797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60856",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631600856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 UNION AVE",
"city": "MOBERLY",
"state": "MO",
"postal_code": "652709407",
"telephone_number": "660-263-8400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBERLY HOSPITAL COMPANY LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MOBERLY HOSPITAL INC.",
"enumeration_date": "2006-02-01",
"last_updated": "2008-02-15",
"status": "A",
"authorized_official_last_name": "PORTACCI",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "SENIOR VP, GROUP OPERATIONS",
"authorized_official_telephone_number": "888-373-9600"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MO",
"license": "423-9",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "110450",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Moberly Regional Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Moberly, MO
- Moberly Anesthesia Associates, LLC
- Moberly Eye Center Inc
- Moberly HBP Medical Group LLC
- Moberly Health Care LLC (Valley View Health & Rehabilitation)
- Moberly Hospital Company LLC
- Moberly Hospital Company LLC
- Moberly Hospital Company LLC (Moberly OBGYN)
- Moberly Hospital Company LLC (Moberly Regional Medical Center)
- Moberly Hospital Company LLC (Moberly Regional Medical Center)
- Moberly Hospital Company LLC (Moberly Rural Health Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.