Organization Active NPI

New Liberty Medical & Hospital Corp

  • Rural Health Clinic/Center
  • Plattsburg, MO
National Provider Identifier
1376568121
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
NEW LIBERTY MEDICAL & HOSPITAL CORP
Practice address
400 W Clay Ave
Plattsburg, MO 64477-1424
Phone
(816) 539-2117
Fax
(816) 539-3301
NPI assigned
Jul 13, 2006
Last updated
Mar 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sheila Kay Feekes
Title
Clinic Manager
Phone
(816) 415-3460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

400 W Clay Ave
Plattsburg, MO 64477-1424

Mailing address

400 W Clay Ave
Plattsburg, MO 64477-1424
Phone (816) 415-3460

Other names 1

  • Plattsburg Medical Clinic Rural Health Clinic Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jun 30, 2022 Change of OwnershipThis provider was the seller The Plattsburg ClinicCCN 263929, MO, NPI 1154053833

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1376568121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W CLAY AVE",
            "city": "PLATTSBURG",
            "state": "MO",
            "postal_code": "644771424",
            "telephone_number": "816-415-3460",
            "fax_number": "816-415-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W CLAY AVE",
            "city": "PLATTSBURG",
            "state": "MO",
            "postal_code": "644771424",
            "telephone_number": "816-539-2117",
            "fax_number": "816-539-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIBERTY MEDICAL & HOSPITAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "FEEKES",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "816-415-3460"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plattsburg Medical Clinic Rural Health Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Plattsburg Medical Clinic Rural Health Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Plattsburg, MO

Sources for this page

Verify at the official NPI Registry.