Provider Demographics
NPI:1669642344
Name:UNIVERSITY OF MO HEALTH CARE
Entity Type:Organization
Organization Name:UNIVERSITY OF MO HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:H
Authorized Official - Last Name:ROBERTSON
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, FNP, BC
Authorized Official - Phone:573-882-2407
Mailing Address - Street 1:1 HOSPITAL DR
Mailing Address - Street 2:MC11 (DC092.10)
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65212-0001
Mailing Address - Country:US
Mailing Address - Phone:573-884-9924
Mailing Address - Fax:573-884-5735
Practice Address - Street 1:1 HOSPITAL DR
Practice Address - Street 2:MC11 (DC092.10)
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65212-0001
Practice Address - Country:US
Practice Address - Phone:573-884-9924
Practice Address - Fax:573-884-5735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-10
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO089691282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital