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
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2277702 | Liberty Bell Family Medicine | Provider-performed microscopy | Apr 4, 2028 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366704710 | Medicaid | WA |
Other providers in Twisp, WA
- Katherine Jean Kirner
- Leah Michelle Knowles
- Lake Chelan Physical Therapy, PS
- Laskey Physical Therapy, LLC
- Samantha Mehaffey Laskey
- Jody K. Love
- Mark H. Love
- Deirdre Luvon
- Kathleen Mary Manseau
- Colby Tyler Mathis
All providers in Twisp, WA · Family Medicine Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.