New Liberty Medical & Hospital Corp
Organization Active NPI Rural Health Clinic/Center · Plattsburg, MO
NPI 1376568121 · NPPES record last updated Mar 3, 2021
Key facts
- NPI
- 1376568121
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 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
- Organization subpart
- No
Authorized official
- Name
- Sheila Kay Feekes
- Title
- Clinic Manager
- Phone
- (816) 415-3460
Change of ownership 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| Jun 30, 2022 | Change of Ownership |
The Plattsburg Clinic |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 595949900 | Medicaid | MO |
Other names
- Plattsburg Medical Clinic Rural Health Clinic
Other providers in Plattsburg, MO
- Missouri CVS Pharmacy, L.L.C.
- N & R of Plattsburg, LLC
- New Liberty Hospital Coporation
- New Liberty Hospital Corporation
- New Liberty Hospital Corporation
- New Liberty Medical & Hospital Corporation
- Nick'S Health Care Center LLC
- Nick'S SNF Opco LLC
- Orta Physical Therapy, Inc.
- Victor Robert Orta
All providers in Plattsburg, MO · Rural Health Clinic/Center in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.