MEMORIAL HEALTH SYSTEM OF EAST TEXAS (NPI# 1396746129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396746129 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HEALTH SYSTEM OF EAST TEXAS |
| Other Organization Name | CHI ST. LUKES HEALTH MEMORIAL LUFKIN |
| Practice Address |
1201 W Frank Lufkin TX 75904 |
| Mailing Address |
Po Box 1447 Lufkin TX 75902-1447 |
| Practice Telephone | 9366348111 |
| Practice Fax Number | 9366397827 |
| Mailing Telephone | 9366348111 |
| Mailing Fax Number | 9366397827 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2020-07-22 |
| Authorized Official Name | MEGAN GLASS (REIMBURSEMENT SPECAIALIST) |
| Authorized Official Telephone | 9366397661 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
000129 | TX | Ambulatory Health Care Facilities |
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
000129 | TX | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | HH0426 | 01 |
| TX | 139172412 | 05 |
| Other Name | Type Code |
|---|---|
| CHI St. Lukes Health Memorial Lufkin | Doing Business As Name - Organization |
| Memorial Medical Center of East Texas | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548358351 | Memorial Health System of East Texas | Home Health | 1109 Ellis Ave, Lufkin, TX 75904-3346 | 2006-10-10 |
| 1083162473 | Memorial Health System of East Texas | Clinic/Center | 1201 W Frank Ave, Lufkin, TX 75904 | 2016-09-14 |
| 1457454431 | Memorial Health System of East Texas | Rehabilitation Unit | 1201 W Frank, Lufkin, TX 75904 | 2006-09-06 |
| 1437119922 | Memorial Health System of East Texas | Clinic/Center | 1201 W Frank Ave, Lufkin, TX 75904-3357 | 2006-03-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEMORIAL HEALTH SYSTEM OF EAST TEXAS | 1717 Highway 59 Loop N, Livingston, TX 77351-5710 |
| Street Address |
1201 W FRANK |
| City | LUFKIN |
| State | TX |
| Zip Code | 75904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851491229 | David L Todd | Pathology | 1201 W Frank, Memorial Medical Center, Lufkin, TX 75904 | 2006-09-25 |
| 1588764955 | Pineywoods Pathology Pa | Pathology | 1201 W Frank, Memorial Medical Center, Lufkin, TX 75904 | 2006-09-25 |
| 1124128590 | Mariela D Vasquez | Pathology | 1201 W Frank, Memorial Medical Center, Lufkin, TX 75904 | 2006-09-25 |
| 1457454431 | Memorial Health System of East Texas | Rehabilitation Unit | 1201 W Frank, Lufkin, TX 75904 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759750 | David Kent Emmerling | Pharmacist | Walmart Pharmacy 10-0140, 2500 Daniel Mccall Drive, Lufkin, TX 75904 | 2020-10-27 |
| 1831732718 | Isaac Kwame Agyare | Pharmacist | 1522 West Frank Ave. Room 127, Lufkin, TX 75904 | 2019-10-23 |
| 1598314999 | Eva Faye Mcduffie | Technician | 1006 Sherwood Rd., Lufkin, TX 75904 | 2019-09-09 |
| 1477036119 | Tyra Williams | Occupational Therapy Assistant | 902 Hill Street, Lufkin, TX 75904 | 2018-09-10 |
| 1720560188 | Veronica Monique Kennedy | Pharmacist | 1522 West Frank, Lufkin, TX 75904 | 2018-09-02 |
| 1356821532 | Mark Anthony Plowman | Licensed Vocational Nurse | 379 Copperfield Loop, Lufkin, TX 75904 | 2018-08-17 |
| 1396222311 | Kevin Pulikottil Cherian | Occupational Therapist | 402 S John Redditt Dr., Lufkin, TX 75904 | 2018-07-23 |
| 1922593029 | Sarah Marie Stuart | Dentist | 103 N Brentwood Dr, Unit 400, Lufkin, TX 75904 | 2018-06-30 |
| 1083104004 | Pam Specialty Hospital of Lufkin, LLC | Long Term Care Hospital | 1201 W Frank Ave Ste D5, Lufkin, TX 75904 | 2018-05-15 |
| 1124523840 | Jane C Davidson | Nurse Practitioner | 1 Medical Center Blvd Ste C, Lufkin, TX 75904 | 2018-03-26 |
| Find all providers in zip 75904 | ||||
| Taxonomy Code | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811347420 | Tasneem Meghani | General Acute Care Hospital | 3730 N Josey Ln Ste 104, Carrollton, TX 75007-2487 | 2016-06-14 |
| 1295157717 | Mcculloch County Hospital District | General Acute Care Hospital | 2008 Nine Road, Brady, TX 76825 | 2014-01-17 |
| 1912349598 | Culberson Hospital | General Acute Care Hospital | Eisenhower and Fm 2185, Van Horn, TX 79855 | 2013-07-23 |
| 1356663546 | Colorado Fayette Medical Center | General Acute Care Hospital | 113 W South Main St, Flatonia, TX 78941-2665 | 2010-02-16 |
| 1497084859 | Leana Bradford | General Acute Care Hospital | 8730 Silver Lure Dr, Humble, TX 77346-8151 | 2009-12-15 |
| 1215164231 | East Texas Medical Center Henderson | General Acute Care Hospital | 300 Wilson, Henderson, TX 75652-5956 | 2009-06-17 |
| 1407097231 | Tm Van Zandt Hospital LLC | General Acute Care Hospital | 707 N Waldrip St, Grand Saline, TX 75140-1555 | 2009-03-06 |
| 1336396274 | Denton Regional Medical Ceneer | General Acute Care Hospital | 1333 Skiles St, Dallas, TX 75204-6108 | 2008-08-21 |
| 1578787875 | Mitchell County Hospital | General Acute Care Hospital | 997 W I-h 20, Colorado City, TX 79512 | 2007-04-11 |
| 1003939232 | Dickerson Memorial Hospital, LLC | General Acute Care Hospital | 1001 Dickerson Dr, Jasper, TX 75951-5110 | 2007-04-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.