LIBERTY MEDICAL RURAL HEALTH CLINIC
NPI 1871590703
Clinic/Center - Rural Health in Liberty, TX

Active since July 07, 2005CLIA 45D0873710 · Waiver
720 TRAVIS ST, LIBERTY, TX 77575(936) 336-6439(936) 336-6517 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2024, Jun 19, 2024 (2 updates tracked since 2024).

About Liberty Medical Rural Health Clinic NPPES

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

LIBERTY MEDICAL RURAL HEALTH CLINIC (NPI 1871590703) is a healthcare organization registered as a rural health in Liberty, Texas and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through July 25, 2027 and lists Fallon Brooke Kay, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1871590703
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameLIBERTY MEDICAL RURAL HEALTH CLINIC
Location Address720 TRAVIS STLiberty, TX 77575-4828
Mailing Address720 Travis StLiberty, TX 77575-4828 · (936) 336-6439 · Fax (936) 336-6517
Fax(936) 336-6517
Organization SubpartNo
Authorized OfficialFallon Brooke KayOffice Manager · (936) 336-6439
Enumeration DateJuly 7, 2005
Last NPPES UpdateOctober 9, 20242 updates tracked since enumeration
NPPES CertifiedOctober 9, 2024
NPI 1871590703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X · License 453892 (TX)
720 TRAVIS ST, Liberty, TX 77575

Other Identifiers 2

OtherCH8297TX · Rr Medicare-rh
Medicaid063414901TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted 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 45D0873710

Liberty Medical Rural Health Lab · Liberty, TX
Active · expires Jul 25, 2027
CLIA Number45D0873710
Laboratory TypeOther
Certificate Effective DateJuly 26, 2025
Certificate Expiration DateJuly 25, 2027
Laboratory DirectorSteven C. Ellerbe
Laboratory Phone(409) 336-6430
Laboratory LocationLiberty Medical Rural Health Lab720 Travis Street, Liberty, TX 77575
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Clinical Medical Laboratory
720 TRAVIS ST
LIBERTY, TX 77575
Family Medicine
720 TRAVIS ST
LIBERTY, TX 77575
Family Medicine
720 TRAVIS ST
LIBERTY, TX 77575

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 Medical Rural Health Clinic's NPI number?

The NPI number for Liberty Medical Rural Health Clinic is 1871590703. It was assigned to this organization in the NPPES registry on July 7, 2005.

Where is Liberty Medical Rural Health Clinic located?

Liberty Medical Rural Health Clinic is located at 720 Travis St, Liberty, TX 77575. The listed phone number is (936) 336-6439.

What is Liberty Medical Rural Health Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Liberty Medical Rural Health Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0873710) is associated with this NPI, valid through July 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Liberty Medical Rural Health Clinic 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 1 other insurer list Liberty Medical Rural Health Clinic 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 Medical Rural Health Clinic was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.