# THE LIBERTY CLINIC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NEW LIBERTY HOSPITAL CORPORATION
- **Other names:** THE LIBERTY CLINIC, P.C.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1952393977
- **Legal business name:** NEW LIBERTY HOSPITAL CORPORATION
- **Authorized official:** JOSEPH W CROSSETT (ADMINISTRATOR)
- **Authorized official phone:** (816) 781-7200

## Contact information

- **Practice address:** 122 S STEWART RD, LIBERTY, MO 64068-4205
- **Practice address phone:** (816) 781-7730
- **Practice address fax:** (816) 415-1886
- **Mailing address:** 2525 GLENN HENDREN DR, LIBERTY, MO 64068-9625
- **Mailing address phone:** (816) 781-7200
- **Mailing address fax:** (816) 792-7117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | MO | Yes |
| 207R00000X | Internal Medicine Physician | — | MO | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | MO | — |
| 208000000X | Pediatrics Physician | — | MO | — |

## Other

- **Enumeration date:** 08/16/2005
- **Last updated:** 07/21/2022
