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LIBERTY MEDICAL CENTER PC NPI 1609144450


NPI Information

NPI: 1609144450
Provider Name: LIBERTY MEDICAL CENTER, PC
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization

CLIA Number: 26D1039971

Address:
1504 NE 96TH ST
LIBERTY, MO
ZIP 64068
Phone: (816) 415-2233
Get Directions

LIBERTY MEDICAL CENTER, PC is a non pharmacy dispensing site in Liberty, MO. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) LIBERTY MEDICAL CENTER, PC NPI is 1609144450. The provider is registered as an organization entity type.

The provider's business location address is:

1504 NE 96TH ST
LIBERTY, MO
ZIP 64068-348
Phone: (816) 415-2233

The provider's authorized official is Rodney Malisos .
The authorized official title is Owner and has the following contact phone number (816) 415-2233.

The CLIA number assigned to this NPI record is 26D1039971 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/8/2011 and was last updated on 10/5/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332900000XNon-Pharmacy Dispensing SiteYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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