# NEW LIBERTY HOSPITAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Excelsior Springs Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326386749
- **Authorized official:** MR. RAGHAVENDRA ADIGA (CEO & PRESIDENT)
- **Authorized official phone:** (816) 781-7200

## Contact information

- **Practice address:** 199 S MCCLEARY RD, SUITE 100, EXCELSIOR SPRINGS, MO 64024
- **Practice address phone:** (816) 407-4700
- **Practice address fax:** (816) 407-4701
- **Mailing address:** PO BOX 219672, KANSAS CITY, MO 64121-9672
- **Mailing address phone:** (816) 630-6071
- **Mailing address fax:** (816) 630-4465

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | MO | Yes |

## Other

- **Enumeration date:** 01/18/2013
- **Last updated:** 03/17/2025