# LIBERTY COUNTY HOSPITAL DISTRICT NO. 1

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Briarcliff Skilled Nursing Facility
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639163595
- **Authorized official:** C BRUCE STRATTON (BOARD PRESIDENT)
- **Authorized official phone:** (936) 336-7400

## Contact information

- **Practice address:** 4054 NW LOOP, CARTHAGE, TX 75633-3346
- **Practice address phone:** (903) 693-8504
- **Practice address fax:** (903) 693-9487
- **Mailing address:** 1500 WATERS RIDGE DR, SUITE 200, LEWISVILLE, TX 75057-6011
- **Mailing address phone:** (972) 899-4401
- **Mailing address fax:** (972) 899-4460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 114221 | TX | Yes |

## Other

- **Enumeration date:** 09/07/2005
- **Last updated:** 02/17/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001021324 | — | TX |
| 01 | — | 176024101 | MEDICAID CO B | TX |