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Organization

MOBERLY HOSPITAL COMPANY LLC

Active
Other names
Emergency Department
Organization subpart
No

Provider details

NPI number
Authorized official
DEBBIE BREWER (DIRECTOR)
(877) 892-9813
Entity
Organization

Contact information

Practice address
1515 UNION AVE, MOBERLY, MO 65270-9407
(660) 263-8400
(660) 269-3091
Mailing address
PO BOX 504460, SAINT LOUIS, MO 63150-0001
(800) 819-2547
(423) 296-6006

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
116134
ANTHEM BCBS
MO
05
541435004
MO
Enumeration date
03/08/2007
Last updated
07/21/2022
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