MOBERLY MEDICAL CLINICS INC NPI 1336135607

NPI Information

NPI: 1336135607
Provider Name: MOBERLY MEDICAL CLINICS INC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 26D2035244

Address:
1513 UNION AVE
SUITE 2300
MOBERLY, MO
ZIP 65270
Phone: (660) 263-8309
Get Directions

MOBERLY MEDICAL CLINICS INC is a multi-specialty clinic center in Moberly, MO. MOBERLY MEDICAL CLINICS INC NPI is 1336135607. The provider is registered as an organization entity type.

The provider's business location address is:

1513 UNION AVE
SUITE 2300
MOBERLY, MO
ZIP 65270-407
Phone: (660) 263-8309
Fax: (660) 263-1948

The provider's authorized official is Debbie Brewer .
The authorized official title is Director Of Provider Enrollment and has the following contact phone number (615) 465-7626.

The CLIA number assigned to this NPI record is 26D2035244 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/22/2005 and was last updated on 9/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	508262003	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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