LIBERTY DAYTON MEDICAL SPECIALTY CLINIC
NPI 1386401560
Clinic/Center - Rural Health in Liberty, TX
About Liberty Dayton Medical Specialty Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIBERTY DAYTON MEDICAL SPECIALTY CLINIC (NPI 1386401560) is a healthcare organization registered as a rural health in Liberty, Texas and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through December 15, 2026 and lists Rhonda Campbell, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Liberty Dayton Medical Specialty Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
33Medicare enrollment records show 33 clinicians reassign Medicare billing to Liberty Dayton Medical Specialty Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 33Cypress, TX 77429
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 45D2088676
Liberty Dayton Medical Clinic · Liberty, TXFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Liberty County Hospital District No 1's NPI number?
The NPI number for Liberty County Hospital District No 1 is 1386401560. It was assigned to this organization in the NPPES registry on March 4, 2024. The provider is doing business as Liberty Dayton Medical Specialty Clinic.
Where is Liberty County Hospital District No 1 located?
Liberty County Hospital District No 1 is located at 1202 N Travis St, Liberty, TX 77575. The listed phone number is (281) 915-0749.
What is Liberty County Hospital District No 1's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Liberty County Hospital District No 1 enrolled in Medicare?
Yes. Liberty County Hospital District No 1 is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Liberty County Hospital District No 1?
According to the CMS Revalidation Reassignment List (October 2026 release), 33 clinicians in 5 Medicare specialties reassign their Medicare billing to Liberty County Hospital District No 1. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (25), Nurse Practitioner (5) and Cardiovascular Disease (Cardiology) (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Liberty County Hospital District No 1 hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2088676) is associated with this NPI, valid through December 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Liberty County Hospital District No 1 was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Liberty Dayton Medical Specialty Clinic · NPI 1386401560
Rural Health organization in Liberty, Texas. Organization record, active in the CMS NPPES registry since March 4, 2024.
## Identity
- **NPI:** 1386401560 (Entity type: Organization)
- **Enumerated:** March 4, 2024
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Liberty County Hospital District No 1
- **Organization subpart:** No
- **Authorized official:** Rhonda Campbell, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 1202 N TRAVIS ST, Liberty, TX 77575-3540
- **Phone:** (281) 915-0749
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 33 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (25), Nurse Practitioner (5), Cardiovascular Disease (Cardiology) (1); 1 practice at this address and 3 within 10 miles; [full list](https://npiprofile.com/npi/1386401560/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 6, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1386401560) · Data from the CMS NPPES public registry.