| Moberly Regional Medical Center | |
|
1515 Union Ave Moberly MO 65270-9407 | |
| (660) 263-8400 | |
| Not Available |
| Full Name | Moberly Regional Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1515 Union Ave, Moberly, Missouri |
| Authorized Official Name and Position | Paula M Lalor (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Contact | 6292153953 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moberly Regional Medical Center Po Box 60856 Saint Louis MO 63160-0856 Ph: () - | Moberly Regional Medical Center 1515 Union Ave Moberly MO 65270-9407 Ph: (660) 263-8400 |
| NPI Number | 1366413882 |
|---|---|
| Provider Enumeration Date | 02/01/2006 |
| Last Update Date | 04/16/2021 |
| Certification Date | 04/16/2021 |
| Medicare PECOS PAC ID | 9436052230 |
|---|---|
| Medicare Enrollment ID | O20080404000724 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366413882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 423-9 (Missouri) | Primary |
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