LIBERTY CLINIC LLC
NPI 1285302430
Clinic/Center - Multi-Specialty in Rensselaer, IN

Active since September 02, 2021
1103 E GRACE ST, RENSSELAER, IN 47978(219) 866-4135(219) 866-0803 Get Directions Write a Review

NPPES record last updated: June 2, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Liberty Clinic Llc NPPES

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

LIBERTY CLINIC LLC (NPI 1285302430) is a healthcare organization registered as a multi-specialty in Rensselaer, Indiana and active in the NPI registry since September 2021. The organization lists Randy Curtis Lehman, Owner, as its authorized official.

NPPES Registry Identity

NPI1285302430
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameLIBERTY CLINIC LLC
Location Address1103 E GRACE STRensselaer, IN 47978-3210
Mailing Address1103 E Grace StRensselaer, IN 47978-3210 · (219) 866-4135 · Fax (219) 866-0803
Fax(219) 866-0803
Organization SubpartNo
Authorized OfficialRandy Curtis LehmanOwner · (219) 866-4135
Enumeration DateSeptember 2, 2021
Last NPPES UpdateJune 2, 2022
NPPES CertifiedJune 2, 2022
NPI 1285302430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1103 E GRACE ST, Rensselaer, IN 47978

Other Identifiers 2

Other1912388414Individual Npi
Medicaid300057753IN

Other Providers at the Same Location NPPES 3

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

Podiatrist
1103 E GRACE ST
RENSSELAER, IN 47978
Physician Assistant
1103 E GRACE ST
RENSSELAER, IN 47978
Family Medicine
1103 E GRACE ST
RENSSELAER, IN 47978

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Liberty Clinic LLC's NPI number?

The NPI number for Liberty Clinic LLC is 1285302430. It was assigned to this organization in the NPPES registry on September 2, 2021.

Where is Liberty Clinic LLC located?

Liberty Clinic LLC is located at 1103 E Grace St, Rensselaer, IN 47978. The listed phone number is (219) 866-4135.

What is Liberty Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Liberty Clinic LLC was last updated on June 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.