| Commonspirit Primary Care and Obstetrics & Gynecology Liberal | |
|
2132 N Kansas Ave Ste C Liberal KS 67901-2099 | |
| (620) 765-1255 | |
| (620) 765-1256 |
| Full Name | Commonspirit Primary Care and Obstetrics & Gynecology Liberal |
|---|---|
| Speciality | Family Medicine |
| Location | 2132 N Kansas Ave Ste C, Liberal, Kansas |
| Authorized Official Name and Position | Angela Jo Skinner (ADMINISTRATOR) |
| Authorized Official Contact | 7206677283 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonspirit Primary Care and Obstetrics & Gynecology Liberal Po Box 803929 Kansas City MO 64180-3929 Ph: (888) 347-3295 | Commonspirit Primary Care and Obstetrics & Gynecology Liberal 2132 N Kansas Ave Ste C Liberal KS 67901-2099 Ph: (620) 765-1255 |
| NPI Number | 1588377204 |
|---|---|
| Provider Enumeration Date | 12/27/2022 |
| Last Update Date | 06/05/2025 |
| Certification Date | 06/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588377204 | NPI | - | NPPES |
| 30003913010037 | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207V00000X | Obstetrics & Gynecology | () | Secondary |
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