MOBERLY RURAL HEALTH CLINIC
NPI 1407989510
Clinic/Center - Rural Health in Moberly, MO

Active since March 14, 2007CLIA 26D0966180 · Waiver
1501 UNION AVE, SUITE A & B, MOBERLY, MO 65270(660) 263-9095(660) 263-0054 Get Directions Write a Review

NPPES record last updated: April 16, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 16, 2021, Aug 24, 2017 (2 updates tracked since 2017).

About Moberly Rural Health Clinic NPPES

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

MOBERLY RURAL HEALTH CLINIC (NPI 1407989510) is a healthcare organization registered as a rural health in Moberly, Missouri and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through April 21, 2027 and lists Paula M Lalor, Director / Delegated Official, as its authorized official.

NPPES Registry Identity

NPI1407989510
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMOBERLY HOSPITAL COMPANY LLC
Location Address1501 UNION AVE, SUITE A & BMoberly, MO 65270-9469
Mailing Address1501 Union Ave, Suite A & BMoberly, MO 65270-9469 · (660) 263-9095 · Fax (660) 263-0054
Fax(660) 263-0054
Organization SubpartYes
Authorized OfficialPaula M LalorDirector / Delegated Official · (629) 215-3953
Enumeration DateMarch 14, 2007
Last NPPES UpdateApril 16, 20212 updates tracked since enumeration
NPPES CertifiedApril 16, 2021
✔ NPI 1407989510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedClinic/CenterTaxonomy 261Q00000X
1501 UNION AVE, Moberly, MO 65270

Other Names 1

Doing Business AsMoberly Rural Health Clinic

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Moberly Rural Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Moberly Rural Health Clinic, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Family Practice
NPI 1548269079
1501 UNION AVE
Moberly, MO 65270
(660) 263-4770
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1528450079
1501 UNION AVE SUITE A & B
Moberly, MO 65270
(660) 263-5556
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1215933544
1501 UNION AVE SUITE A
Moberly, MO 65270
(660) 263-5556
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1881693323
1501 UNION AVE SUITE C & D
Moberly, MO 65270
(660) 263-4770
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1518702786
1501 UNION AVE
Moberly, MO 65270
(660) 263-4770
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1285280404
1501 UNION AVE STE A&B
Moberly, MO 65270
(660) 263-9095
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1033268768
1501 UNION AVE
Moberly, MO 65270
(660) 263-4770
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1760352488
1501 UNION AVE
Moberly, MO 65270
(660) 263-4770
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1538740261
413 W 2ND ST
Salisbury, MO 65281
(660) 388-7084
✔ PECOS✔ Accepts Medicare21 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Waiver 26D0966180

Moberly Rural Health Clinic · Moberly, MO
Active · expires Apr 21, 2027
CLIA Number26D0966180
Laboratory TypeRural Health Clinic
Certificate Effective DateApril 22, 2025
Certificate Expiration DateApril 21, 2027
Laboratory DirectorPhilip Stitzer
Laboratory Phone(660) 263-4770
Laboratory LocationMoberly Rural Health Clinic1501 Union Ave, Moberly, MO 65270
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 1407989510. It was assigned to this organization in the NPPES registry on March 14, 2007. The provider is doing business as Moberly Rural Health Clinic.

Where is Moberly Hospital Company LLC located?

Moberly Hospital Company LLC is located at 1501 Union Ave Suite A & B, Moberly, MO 65270. The listed phone number is (660) 263-9095.

What is Moberly Hospital Company LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Moberly Hospital Company LLC enrolled in Medicare?

Yes. Moberly Hospital Company LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Moberly Hospital Company LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Moberly Hospital Company LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (7) and Family Practice (2). Of these, 5 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Moberly Hospital Company LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0966180) is associated with this NPI, valid through April 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Moberly Hospital Company LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Moberly Hospital Company LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Moberly Hospital Company LLC was last updated on April 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.