| Liberty Medical Center Pc | |
|
1504 Ne 96th St Liberty MO 64068-1348 | |
| (816) 415-2233 | |
| (816) 415-2218 |
| Full Name | Liberty Medical Center Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1504 Ne 96th St, Liberty, Missouri |
| Authorized Official Name and Position | Rodney James Malisos (PRESIDENT) |
| Authorized Official Contact | 8164152233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty Medical Center Pc 1504 Ne 96th St Liberty MO 64068-1348 Ph: (816) 415-2233 | Liberty Medical Center Pc 1504 Ne 96th St Liberty MO 64068-1348 Ph: (816) 415-2233 |
| NPI Number | 1679777908 |
|---|---|
| Provider Enumeration Date | 06/12/2007 |
| Last Update Date | 09/10/2013 |
| Medicare PECOS PAC ID | 1759310584 |
|---|---|
| Medicare Enrollment ID | O20050811000459 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679777908 | NPI | - | NPPES |
| 205388101 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2000146367 (Missouri) | Primary |
| Provider Name | Rodney J Malisos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497753545 PECOS PAC ID: 1759442817 Enrollment ID: I20081208000278 |
| Provider Name | Melinda A Heutinck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912178575 PECOS PAC ID: 7719356757 Enrollment ID: I20221213002354 |
The Liberty Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2609 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-781-7730 Fax: 816-415-1886 | |
Liberty Medicine Specialists, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 Rush Creek Pkwy, Ste B, Liberty, MO 64068 Phone: 816-781-8100 Fax: 816-781-3374 | |
Liberty Hospital Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-781-7200 | |
Nova Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Westowne St, Suite 401, Liberty, MO 64068 Phone: 816-781-7511 Fax: 816-781-3881 | |
Cobblestone Specialty Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1133 W Kansas St, Liberty, MO 64068 Phone: 816-781-7400 Fax: 816-781-3315 | |
Clay Platte Family Medicine Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1133 W Kansas St, Liberty, MO 64068 Phone: 816-781-7400 Fax: 816-781-3315 | |
Wellway Medical Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2551 Norterre Cir, Liberty, MO 64068 Phone: 816-463-8930 |