LIBERTY- DAYTON REGIONAL MEDICAL CENTER LLC
NPI 1508931940
Medicare Defined Swing Bed Unit in Liberty, TX

NPI Status: Active since November 21, 2006

Contact Information

1353 NORTH TRAVIS STREET
LIBERTY, TX
ZIP 77575
Phone: (936) 336-7316
Fax: (936) 336-7772

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  • Organization
  • Medicare Defined Swing Bed Unit
  • CLIA Number: 45D1028446
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 07-22-2026

About LIBERTY- DAYTON REGIONAL MEDICAL CENTER LLC

This page provides the complete NPI Profile along with additional information for Liberty- Dayton Regional Medical Center Llc, a provider established in Liberty, Texas operating as a Medicare Defined Swing Bed Unit. The healthcare provider is registered in the NPI registry with number 1508931940 assigned on November 2006. The practitioner's primary taxonomy code is 275N00000X with license number 100072 (TX). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Mrs. Vicki A Gates Rn (Ceo)

NPI
1508931940
Provider Name
LIBERTY- DAYTON REGIONAL MEDICAL CENTER LLC
Entity Type
Organization
Location Address
1353 NORTH TRAVIS STREET LIBERTY, TX 77575
Location Phone
(936) 336-7316
Location Fax
(936) 336-7772
Mailing Address
1353 NORTH TRAVIS STREET LIBERTY, TX 77575
Mailing Phone
(936) 336-7316
Mailing Fax
(936) 336-7772
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-21-2006
Last Update Date
04-18-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Medicare Defined Swing Bed Unit

Taxonomy Code
275N00000X
Type
Hospital Units
License No.
100072
License State
TX
Taxonomy Description
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1275N00000XHospital Units

Medicare Defined Swing Bed Unit

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. VICKI A GATES RN

Authorized Official Title
CEO
Authorized Official Phone
(936) 336-7316

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
45Z375MEDICARE OSCAR/CERTIFICATION (06)TX 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D1028446
Facility Type
Ambulance
Certificate Effective Date
July 23, 2024
Certificate Expiration Date
July 22, 2026
Laboratory Director
BRIAN E. HURST
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Liberty- Dayton Regional Medical Center Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1508931940, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
0
Doubled → 0
Pos 4
8
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
1
Doubled → 2
Pos 8
9
Unchanged
Pos 9
4
Doubled → 8
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 9 → 18 → 9 1 → 2 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 0 + 8 + 1 + 8 + 3 + 2 + 9 + 8 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1508931940.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

General Acute Care Hospital (Critical Access)
1353 NORTH TRAVIS STREET
LIBERTY, TX 77575

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508931940, enumerated as an "organization" on November 21, 2006.

The provider is located at 1353 NORTH TRAVIS STREET LIBERTY, TX 77575 and the phone number is (936) 336-7316.

Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.