Memorial Medical Center in Port Lavaca - Critical Access
Memorial Medical Center - NPI 1689630865
Memorial Medical Center is a Critical Access in Port Lavaca, Texas. Memorial Medical Center practices all healthcare services and medical treatments related to Critical Access. The NPI Number for Memorial Medical Center is 1689630865. The last update date is 2010-08-25.
Memorial Medical Center's current location address is 815 N Virginia St, Port Lavaca, Texas. You can contact this provider via phone number 3615526713 and fax number 3615520338. The mailing address for Memorial Medical Center is 815 N Virginia St, Port Lavaca, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Memorial Medical Center |
|---|---|
| Address | 815 N Virginia St, Port Lavaca, Texas |
| Phone Number | 3615526713 |
| Fax Number | 3615520338 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Anglin Jason |
| Telephone Number | 3615526713 |
NPI Number Detail
| NPI Number | 1689630865 |
|---|---|
| Provider Enumeration Date | 2006-04-25 |
| Last Updated Date | 2010-08-25 |
Provider Mailing Address Detail
| Address | 815 N Virginia St |
|---|---|
| City | Port Lavaca |
| State | Texas (TX) |
| Post Code | 779793025 |
| Phone Number | 3615526713 |
| Fax Number | 3615520338 |
Provider's Primary Taxonomy Detail
| Speciality | Critical Access |
|---|---|
| Taxonomy | 282Nc0060X |
| Licence No | 487 |
|
Definition: Small, rural hospital meeting location and service criteria that allow it to receive cost-based Medicare and Medicaid reimbursement. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 137909104 | TX | -- | |
| 137909107 | TX | -- | |
| 137909111 | TX | -- | |
| 137909101 | TX | -- | |
| 22476801 | TX | -- | |
| 142448301 | TX | -- | |
| HH0489 | TX | BLUE CROSS | |
| 137909103 | TX | -- |
Post Comment/ Review Below
What is the Memorial Medical Center's 1689630865?
The Memorial Medical Center's NPI (National Provider Identifier) Number is 1689630865. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Memorial Medical Center's facilities are geographically located?
The facilities of Memorial Medical Center are physically situated at the following location: 815 N Virginia St, Port Lavaca, TX, 779793025.
What is Memorial Medical Center's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Memorial Medical Center is Critical Access, and the corresponding taxonomy classification code for this specialized field is 282Nc0060X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1689630865 to Memorial Medical Center?
The Centers for Medicare & Medicaid Services originally issued the 1689630865 to Memorial Medical Center on 2006-04-25.
As of what date was the information pertaining to Memorial Medical Center, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Memorial Medical Center, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-08-25.
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