Liberty Bell Family Medicine

Organization Active NPI Family Medicine Physician · Twisp, WA

NPI 1992403729 · NPPES record last updated Feb 21, 2023

Key facts

NPI
1992403729
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
LIBERTY BELL FAMILY MEDICINE
Practice address
214 Glover St. North
Twisp, WA 98856
Phone
(509) 201-3596
Fax
(509) 219-3329
NPI assigned
Feb 21, 2023
Organization subpart
No

Authorized official

Name
Dr. Thomas McKellar McCloy, MD, MS, FAWM
Title
MD, Owner
Phone
(509) 201-3563

Practitioners 1

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

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2277702Liberty Bell Family Medicine
214 Glover St, Twisp, WA 98856
Provider-performed microscopyApr 4, 2028

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

214 Glover St. North
Twisp, WA 98856

Mailing address

63 Yellow Jacket Rd
Twisp, WA 98856-9635
Phone (509) 201-3563

Other identifiers

IdentifierTypeStateIssuer
1366704710MedicaidWA

Other providers in Twisp, WA

All providers in Twisp, WA · Family Medicine Physician in Washington

Sources for this page

Verify at the official NPI Registry.