Provider / Organization | NPI | Date Certified |
---|---|---|
LIBERTY COUNTY HOSPITAL DISTRICT NO 1 | 1679926992 | 2023-08-31 |
The organization Liberty County Hospital District No 1 is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1679926992. Registration indicates Liberty County Hospital District No 1 is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Rural Health, ) (FQHC/Birthing Cntr/Health Dept/Home Health/RHC/Priv Duty Nurse, ) (Clinic/Center Rural Health, Ambulatory Health Care Facilities) (Clinic/Center, )
Address | City / State | Phone / Fax |
---|---|---|
1353 N Travis St | Liberty, TX 775753549 | 9363367316 / 9363362280 |
Code | Practice | License No State |
---|---|---|
261QR1300X PRIMARY | Ambulatory Health Care Facilities Clinic/Center Clinic/Center: Rural Health FQHC/Birthing Cntr/Health Dept/Home Health/RHC/Priv Duty Nurse Clinic/Center Rural Health Ambulatory Health Care Facilities Clinic/Center |
284333606 | MEDICAID | TX |