Organization
NEW LIBERTY HOSPITAL CORPORATION
Active
Other names
The Excelsior Springs Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAGHAVENDRA ADIGA (CEO & PRESIDENT)
(816) 781-7200
Entity
Organization
Contact information
Practice address
199 S MCCLEARY RD, SUITE 100, EXCELSIOR SPRINGS, MO 64024
(816) 407-4700
(816) 407-4701
Mailing address
PO BOX 219672, KANSAS CITY, MO 64121-9672
(816) 630-6071
(816) 630-4465
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17763056
BCBS
MO
Enumeration date
01/18/2013
Last updated
03/17/2025
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