| New Liberty Hospital Corporation | |
|
199 S Mccleary Rd Suite 100 Excelsior Springs MO 64024 | |
| (816) 407-4700 | |
| (816) 407-4701 |
| Full Name | New Liberty Hospital Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 199 S Mccleary Rd, Excelsior Springs, Missouri |
| Authorized Official Name and Position | Raghavendra Adiga (CEO & PRESIDENT) |
| Authorized Official Contact | 8167817200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Liberty Hospital Corporation Po Box 219672 Kansas City MO 64121-9672 Ph: (816) 630-6071 | New Liberty Hospital Corporation 199 S Mccleary Rd Suite 100 Excelsior Springs MO 64024 Ph: (816) 407-4700 |
| NPI Number | 1326386749 |
|---|---|
| Provider Enumeration Date | 01/18/2013 |
| Last Update Date | 03/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326386749 | NPI | - | NPPES |
| 17763056 | Other | MO | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Missouri) | Primary |
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