Organization Active NPI

Liberal Med Link LLC

  • Durable Medical Equipment & Medical Supplies
  • Liberal, KS
National Provider Identifier
1891064762
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LIBERAL MED LINK LLC
Practice address
80 E Tucker Rd
Liberal, KS 67901-2287
Phone
(620) 626-7779
Fax
(620) 626-7728
NPI assigned
Dec 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

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

Authorized official

Name
Mr. Brett Allan Horyna, RPHNPI 1629356852
Title
President/Owner
Phone
(620) 626-7779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

80 E Tucker Rd
Liberal, KS 67901-2287

Mailing address

80 E Tucker Rd
Liberal, KS 67901-2287
Phone (620) 626-7779

Other names 1

  • Med Link Mobility Doing business as

National Provider Directory

National Provider Directory

Locations

80 E Tucker Rd
Liberal, KS 67901
Phone (620) 626-7779

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1891064762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 E TUCKER RD",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012287",
            "telephone_number": "620-626-7779",
            "fax_number": "620-626-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 E TUCKER RD",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012287",
            "telephone_number": "620-626-7779",
            "fax_number": "620-626-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERAL MED LINK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-22",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "HORYNA",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "620-626-7779",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med Link Mobility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Liberal, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.