LIBERTY- DAYTON REGIONAL MEDICAL CENTER LLC


Address: 1353 North Travis Street, Liberty, TX 77575-3549
Phone: 9363367316

LIBERTY- DAYTON REGIONAL MEDICAL CENTER LLC (NPI# 1508931940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508931940
Entity Type Organization
Organization Name LIBERTY- DAYTON REGIONAL MEDICAL CENTER LLC
Practice Address 1353 North Travis Street
Liberty
TX 77575-3549
Practice Telephone 9363367316
Practice Fax Number 9363367772
Mailing Telephone 9363367316
Mailing Fax Number 9363367772
Enumeration Date 2006-11-21
Last Update Date 2011-04-18
Authorized Official Name MRS. VICKI A GATES (CEO)
Authorized Official Telephone 9363367316
Authorized Official Credential RN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 275N00000X Medicare Defined Swing Bed Unit Hospital Units
Y 275N00000X Medicare Defined Swing Bed Unit 100072 TX Hospital Units

Office Location

Street Address 1353 NORTH TRAVIS STREET
City LIBERTY
State TX
Zip Code 77575-3549

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154324952 Liberty County Hospital District No 1 General Acute Care Hospital 1353 North Travis Street, Liberty, TX 77575-3549 2005-05-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1003285156 Divine Garden Transportation Non-emergency Medical Transport (VAN) 450 Mlking Dr., Liberty, TX 77575 2015-09-18
1689895799 Allen R. Griffin Eyewear Supplier (Equipment, not the service) 2718 B N. Main St., Liberty, TX 77575 2007-05-02
1548362395 Hsmtx/liberty, LLC Skilled Nursing Facility 1206 N Travis St, Liberty, TX 77575 2006-09-02
1699877530 Lessie Frank Licensed Vocational Nurse 612 Highway 90, Liberty, TX 77575 2006-09-01
1588601827 Trudy Poor Britz Nurse Practitioner 1807 Rampart, League, TX 77575 2006-06-02
1285680033 Faresh Mehta Optometrist 2121 Hwy 146 Bypass, Liberty, TX 77575 2006-05-25
1922455781 Bassam A. Hamid M.d.,p.a. Urgent Care/primarycare Clinic/Center 608 Travis, Liberty, TX 77575 2016-05-20
1508887241 Tri-county Behavioral Healthcare Intermediate Care Facility, Mentally Retarded 1420 Holly St, Liberty, TX 77575-3118 2006-07-21
1528581220 D&s Residential Services, Lp Intermediate Care Facility, Mentally Retarded 1420 Holly St, Liberty, TX 77575-3118 2017-07-25
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Taxonomy Information

Taxonomy Code 275N00000X
Grouping Hospital Units
Classification Medicare Defined Swing Bed Unit

Taxonomy Definition

A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
Notes: Source: Code of Federal Regulations #42, Section 482.66.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811371701 Liberty County Hospital District No. 1 Medicare Defined Swing Bed Unit 1353 N Travis St, Liberty, TX 77575-3549 2015-07-10
1518141043 Casey County Hospital District Medicare Defined Swing Bed Unit 187 Wolford Ave, Liberty, KY 42539-3278 2007-12-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1508214222 Trinity Diagnostic Clinic, P.a Medicare Defined Swing Bed Unit 6324 Southern Hills Dr, Fort Worth, TX 76132-4485 2016-06-03
1710224647 Caroline Chioma Ukachukwu Medicare Defined Swing Bed Unit 6565 Fannin St. Mgj. Suit 11, The Methodist Hospital, Mary Gibbs, Houston, TX 77030 2013-01-11
1023353752 Eastland Memorial Hospital District Medicare Defined Swing Bed Unit 304 South Daugherty Street, Eastland, TX 76448 2012-12-06
1447574819 Frio Hospital Association Medicare Defined Swing Bed Unit 200 S Ih 35, Pearsall, TX 78061-6601 2010-03-15
1952567588 Preferred Hospital Leasing Junction, Inc Medicare Defined Swing Bed Unit 349 Reid Rd, Junction, TX 76849-3049 2008-08-04
1699939421 Preferred Hospital Leasing Hemphill, Inc. Medicare Defined Swing Bed Unit 2301 State Highway 83w, Hemphill, TX 75948-0750 2008-07-10
1801087630 Mitchell County Hospital District Medicare Defined Swing Bed Unit 997 West I-20, Colorado City, TX 79512 2007-08-07
1023138781 Throckmorton County Memorial Hosp Medicare Defined Swing Bed Unit 802 N. Minter Ave., Throckmorton, TX 76483-5357 2007-03-29
1093839839 Muenster Hospital District Medicare Defined Swing Bed Unit 605 N Maple, Muesnter, TX 76252-2424 2007-03-19
1841371739 Jackson County Hospital District Medicare Defined Swing Bed Unit 1013 S Wells Street, Edna, TX 77957-4098 2006-10-18
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Competitor

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City LIBERTY
Zip Code 77575

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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