MOBERLY REGIONAL MEDICAL CENTER
NPI 1275504797
Skilled Nursing Facility in Moberly, MO

Active since February 01, 2006CLIA 26D0446608 · Accreditation
1515 UNION AVE, MOBERLY, MO 65270(660) 263-8400 Get Directions Write a Review

NPPES record last updated: February 15, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Moberly Regional Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOBERLY REGIONAL MEDICAL CENTER (NPI 1275504797) is a healthcare organization registered as a skilled nursing facility in Moberly, Missouri and active in the NPI registry since February 2006. The organization holds an CLIA Accreditation certificate valid through January 2, 2027 and lists Michael Portacci, Senior Vp, Group Operations, as its authorized official.

NPPES Registry Identity

NPI1275504797
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMOBERLY HOSPITAL COMPANY LLC
Location Address1515 UNION AVEMoberly, MO 65270-9407
Mailing AddressPo Box 60856Saint Louis, MO 63160-0856
Organization SubpartYesParent: Moberly Hospital Inc.
Authorized OfficialMichael PortacciSenior Vp, Group Operations · (888) 373-9600
Enumeration DateFebruary 1, 2006
Last NPPES UpdateFebruary 15, 2008
NPI 1275504797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MO · 423-9
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
1515 UNION AVE, Moberly, MO 65270

Other Names 1

Doing Business AsMoberly Regional Medical Center

Other Identifiers 2

Medicare OSCAR/certification265329MO
Other110450MO · Blue Cross

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 26D0446608

Moberly Regional Medical Center · Moberly, MO
Active · expires Jan 2, 2027
CLIA Number26D0446608
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorThomas Bart Shaw
Laboratory Phone(660) 269-3173
Laboratory LocationMoberly Regional Medical Center1515 Union Ave, Moberly, MO 65270
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist (Athletic Trainer)
1515 UNION AVE
MOBERLY, MO 65270
Nurse Practitioner (Psychiatric/Mental Health)
1515 UNION AVE
MOBERLY, MO 65270
Nurse Anesthetist, Certified Registered
1515 UNION AVE
MOBERLY, MO 65270
Emergency Medicine
1515 UNION AVE
MOBERLY, MO 65270
Physical Therapy Assistant
1515 UNION AVE
MOBERLY, MO 65270
Emergency Medicine
1515 UNION AVE
MOBERLY, MO 65270
Emergency Medicine
1515 UNION AVE
MOBERLY, MO 65270
Medicare Defined Swing Bed Unit
1515 UNION AVE
MOBERLY, MO 65270

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Moberly Hospital Company LLC's NPI number?

The NPI number for Moberly Hospital Company LLC is 1275504797. It was assigned to this organization in the NPPES registry on February 1, 2006. The provider is doing business as Moberly Regional Medical Center.

Where is Moberly Hospital Company LLC located?

Moberly Hospital Company LLC is located at 1515 Union Ave, Moberly, MO 65270. The listed phone number is (660) 263-8400.

What is Moberly Hospital Company LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Moberly Hospital Company LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 26D0446608) is associated with this NPI, valid through January 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Moberly Hospital Company LLC was last updated on February 15, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.