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

NPI Status: Active since February 01, 2006

Contact Information

1515 UNION AVE
MOBERLY, MO
ZIP 65270
Phone: (660) 263-8400

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  • Organization
  • Skilled Nursing Facility
  • CLIA Number: 26D0446608
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 01-02-2027

About MOBERLY REGIONAL MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Moberly Regional Medical Center, a provider established in Moberly, Missouri operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1275504797 assigned on February 2006. The practitioner's primary taxonomy code is 314000000X with license number 423-9 (MO). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Moberly Regional Medical Center. The authorized official of this NPI record is Michael Portacci (Senior Vp, Group Operations)

NPI
1275504797
Provider Legal Name
MOBERLY HOSPITAL COMPANY LLC
Other Organization Name
MOBERLY REGIONAL MEDICAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1515 UNION AVE MOBERLY, MO 65270
Location Phone
(660) 263-8400
Mailing Address
PO BOX 60856 SAINT LOUIS, MO 63160
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-01-2006
Last Update Date
02-15-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
423-9
License State
MO
Taxonomy Description
(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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL PORTACCI

Authorized Official Title
SENIOR VP, GROUP OPERATIONS
Authorized Official Phone
(888) 373-9600

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
265329MEDICARE OSCAR/CERTIFICATION (06)MO 
110450OTHER (01)MOBLUE CROSS

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
26D0446608
Facility Type
Hospital
Certificate Effective Date
January 03, 2025
Certificate Expiration Date
January 02, 2027
Laboratory Director
THOMAS BART SHAW
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Moberly Regional Medical Center on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for MOBERLY REGIONAL MEDICAL CENTER

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1275504797, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
5
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
0
Unchanged
Pos 7
4
Doubled → 8
Pos 8
7
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 5 → 10 → 1 4 → 8 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 4 + 5 + 1 + 0 + 0 + 8 + 7 + 1 + 8 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1275504797.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Anesthetist, Certified Registered
1515 UNION AVE
MOBERLY, MO 65270
Nurse Anesthetist, Certified Registered
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 Therapist
1515 UNION AVE
MOBERLY, MO 65270
Specialist/Technologist (Athletic Trainer)
1515 UNION AVE
MOBERLY, MO 65270
Specialist/Technologist (Athletic Trainer)
1515 UNION AVE
MOBERLY, MO 65270
Emergency Medicine
1515 UNION AVE
MOBERLY, MO 65270
Emergency Medicine
1515 UNION AVE
MOBERLY, MO 65270
Internal Medicine
1515 UNION AVE
MOBERLY, MO 65270
Emergency Medicine
1515 UNION AVE
MOBERLY, MO 65270
Physical Therapy Assistant
1515 UNION AVE
MOBERLY, MO 65270
Clinical Medical Laboratory
1515 UNION AVE
MOBERLY, MO 65270
Nurse Practitioner (Psychiatric/Mental Health)
1515 UNION AVE
MOBERLY, MO 65270
Psychiatric Unit
1515 UNION AVE
MOBERLY, MO 65270
Medicare Defined Swing Bed Unit
1515 UNION AVE
MOBERLY, MO 65270
General Acute Care Hospital
1515 UNION AVE
MOBERLY, MO 65270
Emergency Medicine
1515 UNION AVE
MOBERLY, MO 65270
Nurse Anesthetist, Certified Registered
1515 UNION AVE
MOBERLY, MO 65270
Nurse Practitioner (Psychiatric/Mental Health)
1515 UNION AVE
MOBERLY, MO 65270

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275504797, enumerated as an "organization" on February 01, 2006.

The provider is located at 1515 UNION AVE MOBERLY, MO 65270 and the phone number is (660) 263-8400.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.