Organization · Type 2 NPI

Liberty County Hospital District No. 1

Skilled Nursing Facility · Fairfield, TX

NPI number 1124061304 Active

Practice location

420 Moody St.
Fairfield, TX 75840-3036

Call (903) 389-1236 Map

Fax (903) 389-1241

Mailing address

420 Moody St
Fairfield, TX 75840-3036

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	102704 (TX)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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NPI record

NPI: 1124061304
Entity type: Organization (Type 2)
Issued: Jun 14, 2006
Last updated: Aug 21, 2026
Status: Active

Other names

<unavail>
Avir at Moody · doing business as
Fairfield Nursing & Rehabilitation Center · doing business as

Authorized official

Mr. Charles Bruce Stratton
President
(936) 336-7422

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124061304

Liberty County Hospital District No. 1's National Provider Identifier is 1124061304, issued on Jun 14, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Fairfield, TX. The record was last updated on Aug 21, 2026.