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LIBERTAS CORP. NPI 1659822864


NPI Information

NPI: 1659822864
Provider Name: LIBERTAS CORP.

Doing Business As: FREESTATE HEALTH

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 17D2130287

Address:
4723 E DOUGLAS AVE
WICHITA, KS
ZIP 67218
Phone: (800) 924-8140
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LIBERTAS CORP. is an internal medicine in Wichita, KS. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. LIBERTAS CORP. NPI is 1659822864. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Freestate Health.

The provider's business location address is:

4723 E DOUGLAS AVE
WICHITA, KS
ZIP 67218-012
Phone: (800) 924-8140
Fax: (800) 924-8140

The provider's authorized official is Elisha Yaghmai .
The authorized official title is President and has the following contact phone number (800) 924-8140.

The CLIA number assigned to this NPI record is 17D2130287 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/24/2016 and was last updated on 12/29/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency Medicine04-33447KANSASNo
2207R00000XInternal Medicine04-33447KANSASYes
3208000000XPediatrics04-33447KANSASNo
4208M00000XHospitalist04-33447KANSASNo

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: 11/14/2023

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