# MOBERLY HOSPITAL COMPANY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Moberly Regional Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770554305
- **Authorized official:** PAULA M LALOR (DIRECTOR / DELEGATED OFFICIAL)
- **Authorized official phone:** (629) 215-3953

## Contact information

- **Practice address:** 1515 UNION AVE, MOBERLY, MO 65270-9407
- **Practice address phone:** (660) 263-8400
- **Mailing address:** PO BOX 60856, SAINT LOUIS, MO 63160-0856

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 423-9 | MO | Yes |

## Other

- **Enumeration date:** 01/31/2006
- **Last updated:** 04/16/2021