LIBERTY COUNTY HOSPITAL DISTRICT NO 1 (NPI# 1679926992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679926992 |
| Entity Type | Organization |
| Organization Name | LIBERTY COUNTY HOSPITAL DISTRICT NO 1 |
| Other Organization Name | LIBERTY DAYTON MEDICAL CLINIC |
| Practice Address |
1353 N Travis St Liberty TX 77575-3549 |
| Practice Telephone | 9363367316 |
| Practice Fax Number | 9363362280 |
| Mailing Telephone | 9363367316 |
| Mailing Fax Number | 9363362280 |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2020-09-08 |
| Authorized Official Name | MRS. RHONDA CAMPBELL (CEO) |
| Authorized Official Telephone | 9363367316 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 284333606 | 05 |
| Other Name | Type Code |
|---|---|
| LIBERTY DAYTON MEDICAL CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003276437 | Liberty County Hospital District No 1 | Skilled Nursing Facility | 12921 Misty Willow Dr, Houston, TX 77070-5287 | 2016-02-26 |
| 1255627238 | Liberty County Hospital District No 1 | Skilled Nursing Facility | 519 Ninth Avenue N, Texas City, TX 77590-6316 | 2011-06-28 |
| 1528367356 | Liberty County Hospital District No 1 | General Acute Care Hospital | 1353 N Travis, Liberty, TX 77575-3549 | 2011-03-18 |
| 1912125683 | Liberty County Hospital District No 1 | Skilled Nursing Facility | 4048 Red Bluff Road, Pasadena, TX 77503 | 2007-04-20 |
| 1326141557 | Liberty County Hospital District No 1 | Skilled Nursing Facility | 4150 College St, Beaumont, TX 77707-3902 | 2006-09-06 |
| 1154324952 | Liberty County Hospital District No 1 | General Acute Care Hospital | 1353 North Travis Street, Liberty, TX 77575-3549 | 2005-05-24 |
| 1922469956 | Liberty County Hospital District No 1 | Skilled Nursing Facility | 7107 Queenston Blvd, Houston, TX 77095-5339 | 2016-03-18 |
| 1891156733 | Liberty County Hospital District No 1 | Skilled Nursing Facility | 15880 Wallisville Rd, Houston, TX 77049-4606 | 2016-03-18 |
| 1659731081 | Liberty County Hospital District No 1 | Skilled Nursing Facility | 21727 Provincial Blvd, Katy, TX 77450-6508 | 2016-02-26 |
| 1598170755 | Liberty County Hospital District No 1 | Skilled Nursing Facility | 2714 Morrison St, Houston, TX 77009-7614 | 2014-06-26 |
| Street Address |
1353 N TRAVIS ST |
| City | LIBERTY |
| State | TX |
| Zip Code | 77575-3549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114945532 | Danny Kyaw Khine | Internal Medicine | 1353 N Travis St, Liberty, TX 77575-3549 | 2006-07-17 |
| 1811371701 | Liberty County Hospital District No. 1 | Medicare Defined Swing Bed Unit | 1353 N Travis St, Liberty, TX 77575-3549 | 2015-07-10 |
| 1770964991 | Susan D. Clark | Nurse Practitioner | 1353 N Travis St, Liberty, TX 77575-3549 | 2015-06-12 |
| 1295128247 | Ess of South Texas LLC | Emergency Medicine | 1353 N Travis St, Liberty, TX 77575-3549 | 2015-03-16 |
| 1922328335 | Israel Tegegne Haile | Internal Medicine | 1353 N Travis St, Liberty, TX 77575-3549 | 2010-06-08 |
| 1487889960 | Heather Reed | Physician Assistant | 1353 N Travis St, Liberty, TX 77575-3549 | 2009-05-27 |
| 1407094667 | Shelly Margaret States | Physician Assistant | 1353 N Travis St, Liberty, TX 77575-3549 | 2009-01-27 |
| 1770733081 | Liberty Dayton Community Hospital | General Acute Care Hospital | 1353 N Travis St, Liberty, TX 77575-3549 | 2008-09-23 |
| 1992988539 | Lisa Gaile Odom | Registered Nurse | 1353 N Travis St, Liberty, TX 77575-3549 | 2007-12-05 |
| 1740344415 | Steven Wayne Branham | Nurse Practitioner | 1353 N Travis St, Liberty, TX 77575-3549 | 2006-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750981502 | Parikshit Jayant Davda | Clinic/Center | 1620 Magbolia Street, Liberty, TX 77575 | 2020-10-30 |
| 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 |
| Find all providers in zip 77575 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902224876 | Cannon Memorial Hospital | Clinic/Center | 105 Liberty Blvd, Liberty, SC 29657-1641 | 2014-03-28 |
| 1962759837 | Reid Physician Associates, Inc | Clinic/Center | 950 N Market St, Liberty, IN 47353-8496 | 2012-08-10 |
| 1679720114 | Casey County Hospital District | Clinic/Center | 112 Liberty Sq, Liberty, KY 42539-3392 | 2008-08-27 |
| 1164598090 | Waldo County General Hospital | Clinic/Center | 43 West Main Street, Liberty, ME 04949 | 2006-11-24 |
| 1871567362 | Casey County Hospital District | Clinic/Center | 187 Wolford Ave, Liberty, KY 42539-3187 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639776586 | West Texas Family Medicine, Pllc | Clinic/Center | 315 W Cleveland St, Hale Center, TX 79041 | 2020-10-05 |
| 1780298547 | Coryell County Memorial Hospital Authority | Clinic/Center | 498 Avenue E, Moody, TX 76557-3579 | 2020-08-31 |
| 1760005953 | Eastland Memorial Hospital District | Clinic/Center | Walnut Street Clinic, 200 Walnut Street Clinic, Ranger, TX 76448-7644 | 2020-05-21 |
| 1023631306 | Eastland Memorial Hospital District | Clinic/Center | Emh Regional Healthcare Clinic, 2314 W. Commerce Street, Eastland, TX 76448-7644 | 2020-05-21 |
| 1346862752 | Ascension Seton | Clinic/Center | 249 Sportsplex Dr., Suite 204, Dripping Springs, TX 78620-2350 | 2020-05-08 |
| 1255977211 | Frio Hospital Association | Clinic/Center | 801 Fm W 117, Dilley, TX 78017 | 2019-11-25 |
| 1700447950 | Scott & White Hospital - Marble Falls | Clinic/Center | 105 Fm2342, Kingsland, TX 78639-6010 | 2019-06-27 |
| 1275193005 | Brenham Family Practice and Obstetrics Pa | Clinic/Center | 601 Medical Pkwy Ste D, Brenham, TX 77833-5430 | 2019-06-14 |
| 1588137103 | Nocona Hospital District | Clinic/Center | 108 E Boggess St, Saint Jo, TX 76265-0238 | 2019-01-07 |
| 1033687900 | Gainesville Community Hospital, Inc. | Clinic/Center | 801 N Grand Ave Ste 1&4, Gainesville, TX 76240-3573 | 2018-11-08 |
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| 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.