Healthcare Provider Details

I. General information

NPI: 1528193307
Provider Name (Legal Business Name): CURATORS OF THE UNIVERSITY OF MISSOURI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 N MORLEY ST
MOBERLY MO
65270-2617
US

IV. Provider business mailing address

PO BOX 7687
COLUMBIA MO
65205-7687
US

V. Phone/Fax

Practice location:
  • Phone: 660-263-5090
  • Fax:
Mailing address:
  • Phone: 573-882-2259
  • Fax: 573-884-4517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HERBERT L STANLEY
Title or Position: ASSOCIATE DIRECTOR FINANCE
Credential:
Phone: 573-882-1095