Organization
LIBERTY COUNTY HOSPITAL DISTRICT NO 1
Active
Other names
LIBERTY DAYTON MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RHONDA CAMPBELL (CEO)
(936) 336-7316
Entity
Organization
Contact information
Practice address
1201 N TRAVIS ST, LIBERTY, TX 77575-3539
(936) 336-9175
(936) 336-8185
Mailing address
1353 N TRAVIS ST, LIBERTY, TX 77575-3549
(936) 336-7316
(936) 336-2280
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
284333606
—
TX
Enumeration date
07/21/2016
Last updated
08/31/2023
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