Liberty Medical, Inc.

LBN: Liberty Medical, Inc.
Liberty Medical, Inc. is an health care organization with primary practice located at 1220 Russell Parkway Suite 2, Warner Robins GA 31088. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Liberty Medical, Inc. can be contacted via phone (478) 929-9410, or through Ivester, Elizabeth Sue via phone (478) 929-9410.

Contact Information

Primary practice address
1220 Russell Parkway Suite 2 Warner Robins GA 31088
Phone: (478) 929-9410
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ivester, Elizabeth Sue
Phone: (478) 929-9410

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Georgia

Profile Details

NPI number 1801950175
LBN Legal business name Liberty Medical, Inc.
DBA Doing business as
Authorized official Ivester, Elizabeth Sue
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2006
Last updated Jul 21st, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801950175 NPPES
Georgia Other 125205000 U.S. DEPARTMENT OF LABOR
Georgia MEDICAID 00940497A U.S. DEPARTMENT OF LABOR

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