OrganizationActive
Liberty Medical Center, PC
NPI 1609144450 · Non-Pharmacy Dispensing Site · Liberty, MO
Provider details
- NPI number
- 1609144450
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Liberty Medical Center PC
- Organization subpart
- Yes
- Authorized official
- Shelly Boomgaarden, Billing(816) 415-2233
Specialties & taxonomies
Suppliers
Practice location
1504 Ne 96th St Ste a
Liberty, MO 64068-1351
Phone: (816) 415-2233
Fax: (816) 415-2218
Approximate (ZIP-level) locationGet directions
Mailing address
2980 N Beverly Glen Cir Ste 100
Los Angeles, CA 90077-1728
Registry dates
- Enumerated
- 2011-12-08
- Last updated
- 2026-03-20
- Certified
- 2026-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.