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LIAISON HEALTH GROUP, LLC
NPI 1033874888
Clinic/Center in Overland, MO

Active since November 06, 2021CLIA 26D2266762 · Waiver
9628 MIDLAND BLVD, OVERLAND, MO 63114(314) 779-6022 Get Directions Write a Review

NPPES record last updated: January 13, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 13, 2023, Nov 6, 2021 (2 updates tracked since 2021).

About Liaison Health Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIAISON HEALTH GROUP, LLC (NPI 1033874888) is a healthcare organization registered as a clinic/center in Overland, Missouri and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through August 15, 2026 and lists Wogene Amsalu, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1033874888
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameLIAISON HEALTH GROUP, LLC
Location Address9628 MIDLAND BLVDOverland, MO 63114-3357
Mailing Address9628 Midland BlvdOverland, MO 63114-3357 · (314) 779-6022
Phone(314) 779-6022
Organization SubpartNo
Authorized OfficialWogene AmsaluNurse Practitioner · (314) 779-6022
Enumeration DateNovember 6, 2021
Last NPPES UpdateJanuary 13, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2023
✔ NPI 1033874888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

9628 MIDLAND BLVD, Overland, MO 63114
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Other Identifiers 1

Other2018001284MO · Board Of Nursing

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2266762

Liaison Health Group LLC · Saint Louis, MO
Active · expires Aug 15, 2026
CLIA Number26D2266762
Laboratory TypePractitioner Other
Certificate Effective DateAugust 16, 2024
Certificate Expiration DateAugust 15, 2026
Laboratory DirectorWogene Amsalu
Laboratory Phone(314) 779-6022
Laboratory LocationLiaison Health Group LLC9628 Midland Blvd, Saint Louis, MO 63114
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BILL LOUIS SHISKO D.O.
Family Medicine
9628 MIDLAND BLVD, SUITE 2
SAINT LOUIS, MO 63114
St. Louis County (314) 423-4070
MR. ROBERT KIENTZLE PHARM IN CHARGE
Pharmacist
9628 MIDLAND BLVD
SAINT LOUIS, MO 63114
St. Louis County (314) 423-2000
MIDLAND PHARMACY
Pharmacy (Community/Retail Pharmacy)
9628 MIDLAND BLVD
OVERLAND, MO 63114
St. Louis County (314) 423-2000
COUTS MCADAM OSTEOPATHIC FAMILY MEDICINE,LLC
Family Medicine
9628 MIDLAND BLVD, SUITE 1
SAINT LOUIS, MO 63114
St. Louis County (314) 429-7703
COUTS MCADAM OSTEOPATHIC FAMILY MEDICINE
Family Medicine
9628 MIDLAND BLVD, SUITE1
SAINT LOUIS, MO 63114
St. Louis County (314) 429-7703
WILLIAM L SHISKO,D.O., P.C.
General Practice
9628 MIDLAND BLVD, SUITE 2
SAINT LOUIS, MO 63114
St. Louis County (314) 423-4070
WOGENE AMSALU
Nurse Practitioner (Primary Care)
9628 MIDLAND BLVD
OVERLAND, MO 63114
St. Louis County (314) 779-6022
MIDLAND QUALITY CARE, LLC
Home Health
9628 MIDLAND BLVD
SAINT LOUIS, MO 63114
St. Louis County (314) 779-6022

Frequently Asked Questions

What is LIAISON HEALTH GROUP, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1033874888, enumerated as an "organization" on November 06, 2021.

Where is the provider located?

The provider is located at 9628 MIDLAND BLVD OVERLAND, MO 63114 and the phone number is (314) 779-6022.

What is the provider's specialty?

Clinic/Center with taxonomy code 261Q00000X.

What insurance does LIAISON HEALTH GROUP, LLC accept?

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.