Liberty Dayton Medical Clinic

LBN: Liberty County Hospital District No 1
Liberty Dayton Medical Clinic is an health care organization with primary practice located at 1201 N Travis St , Liberty TX 77575-3539. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Liberty County Hospital District No 1 can be contacted via phone (936) 336-9175, or through Campbell, Rhonda via phone (936) 336-7316.

Contact Information

Primary practice address
1201 N Travis St Liberty TX 77575-3539
Phone: (936) 336-9175
Fax: (936) 336-8185
Website:
Map and Directions
Authorized official contact:
Name: Campbell, Rhonda
Phone: (936) 336-7316

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1679926992
LBN Legal business name Liberty County Hospital District No 1
DBA Doing business as Liberty Dayton Medical Clinic
Authorized official Campbell, Rhonda
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2016
Last updated Aug 31st, 2023 - 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 1679926992 NPPES
Texas MEDICAID 284333606

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