Organization Name: | MOBERLY HOSPITAL COMPANY LLC |
NPI Number: | 1295092419 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAURIE HOLTSFORD (AUTHROIZED OFFICIAL / DIRECTOR) |
Mailing Address: | 300 N Morley St Ste G/h Moberly |
State: | MO US |
Postal Code: | 652702334 |
Phone Number: | 6602638400 |
Fax Number: | |
NPI Enumeration Date: | 04/12/2012 |
NPI Last Update Date: | 05/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |