Healthcare Provider Details

I. General information

NPI: 1871032292
Provider Name (Legal Business Name): LIBERTY COUNTY HOSPITAL DISTRICT NO. 1
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2017
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 HOLLOW TREE LN
HOUSTON TX
77090-2803
US

IV. Provider business mailing address

303 HOLLOW TREE LN
HOUSTON TX
77090-2803
US

V. Phone/Fax

Practice location:
  • Phone: 832-705-8700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateTX

VIII. Authorized Official

Name: C. BRUCE STRATTON
Title or Position: BOARD PRESIDENT
Credential:
Phone: 936-336-7400