# MOBERLY HOSPITAL COMPANY LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MOBERLY HOSPITAL COMPANY LLC
- **Other names:** Moberly Rural Health Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1407989510
- **Legal business name:** MOBERLY HOSPITAL COMPANY LLC
- **Authorized official:** PAULA M LALOR (DIRECTOR / DELEGATED OFFICIAL)
- **Authorized official phone:** (629) 215-3953

## Contact information

- **Practice address:** 1501 UNION AVE, SUITE A & B, MOBERLY, MO 65270-9469
- **Practice address phone:** (660) 263-9095
- **Practice address fax:** (660) 263-0054
- **Mailing address:** 1501 UNION AVE, SUITE A & B, MOBERLY, MO 65270-9469
- **Mailing address phone:** (660) 263-9095
- **Mailing address fax:** (660) 263-0054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QR1300X | Rural Health Clinic/Center | — | MO | Yes |

## Other

- **Enumeration date:** 03/14/2007
- **Last updated:** 04/16/2021