Active NPI
New Liberty Medical & Hospital Corp
- Rural Health Clinic/Center
- Plattsburg, MO
National Provider Identifier
1376568121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryOwnership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Jun 30, 2022 | Change of Ownership | The Plattsburg Clinic |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba The Plattsburg Clinic
- Rural Health Clinic/Center
- Plattsburg, MO
- NPI 1154053833
Sold to, 2022-06-30
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
- Missouri CVS Pharmacy, L.L.C. (CVS Pharmacy #11308)
- N & R of Plattsburg, LLC (Clinton Care & Rehab Center)
- New Liberty Hospital Coporation (The Plattsburg Clinic)
- New Liberty Hospital Corporation (The Plattsburg Clinic)
- New Liberty Hospital Corporation (Plattsburg Clinic)
- New Liberty Medical & Hospital Corporation (Plattsburg Medical Clinic)
- Nick's Health Care Center LLC
- Nick's SNF Opco LLC (Nick's Health Care Center)
- Orta Physical Therapy, Inc.
- Victor Robert Orta, P.T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.