LIBERTY DAYTON MEDICAL CLINIC
NPI 1679926992
Clinic/Center - Rural Health in Liberty, TX

Q: 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.

Active since July 21, 2016CLIA 45D2327123 · Waiver

1201 N TRAVIS ST, LIBERTY, TX 77575(936) 336-9175(936) 336-8185 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 31, 2023, Aug 29, 2022, Sep 8, 2020 (3 updates tracked since 2020).

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About Liberty Dayton Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIBERTY DAYTON MEDICAL CLINIC (NPI 1679926992) is a healthcare organization registered as a rural health in Liberty, Texas and active in the NPI registry since July 2016. The organization holds a CLIA Waiver certificate valid through July 15, 2027, maintains a secondary practice location in Liberty, and lists Rhonda Campbell, Ceo, as its authorized official.

NPPES Registry Identity

NPI1679926992

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameLIBERTY COUNTY HOSPITAL DISTRICT NO 1

Location Address1201 N TRAVIS STLiberty, TX 77575-3539

Mailing Address1353 N Travis StLiberty, TX 77575-3549 · (936) 336-7316 · Fax (936) 336-2280

Phone(936) 336-9175

Fax(936) 336-8185

Organization SubpartNo

Authorized OfficialRhonda CampbellCeo · (936) 336-7316

Enumeration DateJuly 21, 2016

Last NPPES UpdateAugust 31, 20233 updates tracked since enumeration

NPPES CertifiedAugust 31, 2023

✔ NPI 1679926992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

1201 N TRAVIS ST, Liberty, TX 77575

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Other Names 1

Doing Business AsLiberty Dayton Medical Clinic

Secondary Practice Location 1

Location 11353 N Travis StLiberty, TX 77575-3549 · Phone (936) 336-7316 · Fax (936) 336-2280

Other Identifiers 1

Medicaid284333606TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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 45D2327123

Liberty Dayton Medical Specialty Clinic · Liberty, TX

Active · expires Jul 15, 2027

CLIA Number45D2327123

Laboratory TypeRural Health Clinic

Certificate Effective DateJuly 16, 2025

Certificate Expiration DateJuly 15, 2027

Laboratory DirectorAmanuel Abreha

Laboratory Phone(936) 336-9175

Laboratory LocationLiberty Dayton Medical Specialty Clinic1202 N Travis St, Liberty, TX 77575

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNY GLENN

Nurse Practitioner (Acute Care)

1201 N TRAVIS ST
LIBERTY, TX 77575

Liberty County (936) 336-9175

Frequently 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 1679926992. It was assigned to this organization in the NPPES registry on July 21, 2016. The provider is doing business as Liberty Dayton Medical Clinic.

Where is Liberty County Hospital District No 1 located?

Liberty County Hospital District No 1 is located at 1201 N Travis St, Liberty, TX 77575. The listed phone number is (936) 336-9175.

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.

Does Liberty County Hospital District No 1 hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2327123) is associated with this NPI, valid through July 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Liberty County Hospital District No 1 accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Liberty County Hospital District No 1 as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Liberty County Hospital District No 1 was last updated on August 31, 2023. 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.