Memorial Medical Center

LBN: Memorial Medical Center
Memorial Medical Center is an health care organization with primary practice located at 815 N Virginia St , Port Lavaca TX 77979-3025. The organization recently has only one registered license in Hospitals / Critical Access, which is considered as the primary health care specialty. Memorial Medical Center can be contacted via phone (361) 552-6713, or through Anglin, Jason via phone (361) 552-6713.

Contact Information

Primary practice address
815 N Virginia St Port Lavaca TX 77979-3025
Phone: (361) 552-6713
Fax: (361) 552-0338
Website:
Map and Directions
Authorized official contact:
Name: Anglin, Jason
Phone: (361) 552-6713

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X 000487 Texas

Profile Details

NPI number 1689630865
LBN Legal business name Memorial Medical Center
DBA Doing business as
Authorized official Anglin, Jason
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2006
Last updated Aug 25th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689630865 NPPES
Texas MEDICAID 137909104
Texas MEDICAID 137909107
Texas MEDICAID 137909111
Texas MEDICAID 137909101
Texas MEDICAID 022476801
Texas MEDICAID 142448301
Texas Other HH0489
Texas MEDICAID 137909103

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