MEMORIAL MEDICAL CENTER


Address: 118 Trinity Shores Drive, Port Lavaca, TX 77979
Phone: 5126434739

MEMORIAL MEDICAL CENTER (NPI# 1538719836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538719836
Entity Type Organization
Organization Name MEMORIAL MEDICAL CENTER
Practice Address 118 Trinity Shores Drive
Port Lavaca
TX 77979
Mailing Address 815 N Virginia St
Port Lavaca
TX 77979-3025
Practice Telephone 5126434739
Mailing Telephone 3615520224
Enumeration Date 2019-09-18
Last Update Date 2019-09-18
Authorized Official Name DIANE CHRIS MOORE (CFO)
Authorized Official Telephone 3615520224
Is Organization Subpart Y
Parent Organization Name MEMORIAL MEDICAL CENTER

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251J00000X Nursing Care Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1497153589 Memorial Medical Center Family Medicine 1016 N. Virginia St., Port Lavaca, TX 77979-0000 2014-12-05
1588075964 Memorial Medical Center Skilled Nursing Facility 2100 Dove Crossing Ln, Navasota, TX 77868-5247 2014-05-19
1275717894 Memorial Medical Center Skilled Nursing Facility 2750 Miller Ranch Rd, Pearland, TX 77584-9763 2007-12-18
1679549968 Memorial Medical Center Audiologist 644 North Second Street, Springfield, IL 62781-0001 2006-02-27
1124099098 Memorial Medical Center General Acute Care Hospital 701 N !st St, Mab 528, Springfield, IL 62781-0001 2006-01-30
1922092790 Memorial Medical Center Skilled Nursing Facility 1008 Enterprise Blvd, Rockport, TX 78382-3201 2005-09-07
1568017481 Memorial Medical Center Clinic/Center 701 N 1st St, Springfield, IL 62781-0001 2019-08-07
1053964742 Memorial Medical Center Orthopaedic Surgery 815 N Virginia St, Port Lavaca, TX 77979-3025 2019-07-22
1164954806 Memorial Medical Center Internal Medicine 701 N 1st St, Mailbox 95, Springfield, IL 62781-0001 2017-03-31
1104203181 Memorial Medical Center Surgery 815 N Virginia St, Port Lavaca, TX 77979-3025 2015-04-29

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities MEMORIAL MEDICAL CENTER 8260 Atlee Rd Ste 1203, Mechanicsville, VA 23116-1844
System for Award Management (SAM) Entities MEMORIAL MEDICAL CENTER INC 1615 Maple Ln, Ashland, WI 54806-3610
System for Award Management (SAM) Entities MEMORIAL MEDICAL CENTER OF EAST TEXAS 1201 W Frank Ave, Lufkin, TX 75904-3357

Office Location

Street Address 118 TRINITY SHORES DRIVE
City PORT LAVACA
State TX
Zip Code 77979

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972083475 Kelly Leigh Meyer Occupational Therapy Assistant Port Lavaca Nursing and Rehabilitation Center, 524 Village Rd, Port Lavaca, TX 77979 2018-08-15
1679943393 Vrinda Mohunta Dentist 204 Tx-35, Port Lavaca, TX 77979 2015-10-07
1770999344 Smile Experts Pllc Dentist 204 State Hwy 35 South, Port Lavaca, TX 77979 2014-07-03
1083927636 Calhoun Home Health, LLC Home Health 1300 N Virginia St Ste 111, Port Lavaca, TX 77979 2010-07-23
1740423490 Diana E. Garcia Case Manager/Care Coordinator 3272 U.S. Hwy 87, Port Lavaca, TX 77979 2009-04-10
1982844940 Gillian V. Kwi Dentist 1112 Half League Rd, Port Lavaca, TX 77979 2009-03-03
1003054057 Ngale Ndiva Mongoh Pharmacist 325 S. Hwy. 35 By Pass, Port Lavaca, TX 77979 2009-01-29
1326248592 Nichole Lynn Bruno Nurse Practitioner 1300 N. Virginia Street, Port Lavaca, TX 77979 2007-07-24
1518168855 Calhoun County Senior Citizens Assoc. Inc. Home Delivered Meals 2104 W Austin St., Port Lavaca, TX 77979 2007-05-31
1275631954 Mau Shong Lin Internal Medicine 1706 North Virginia Street, Port Lavaca, TX 77979 2006-09-20
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Taxonomy Information

Taxonomy Code 251J00000X
Grouping Agencies
Classification Nursing Care

Taxonomy Definition

A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1205435732 Lifetimenursescare, Inc. Nursing Care 10875 Plano Rd Ste 103, Dallas, TX 75238-1369 2020-10-26
1336746759 First Choice Children's Homecare, Lp Nursing Care 1111 W Mockingbird Lane, Suite 1400, Dallas, TX 75247-5014 2020-10-08
1275149544 Felichez Inc. Nursing Care 3507 Canton Hills Ln, Missouri City, TX 77459-5090 2020-09-21
1417561762 Just Words & Other Things Nursing Care 411 Shockley Ave, Desoto, TX 75115-3228 2020-09-03
1063025658 Peace and Integrity Healthcare LLC Nursing Care 5602 Turner Oaks, Houston, TX 77085-2270 2020-08-25
1871104992 Careaid Home Health Agency Nursing Care 1675 W Campbell Rd Apt 3311, Garland, TX 75044-2336 2020-08-12
1932719721 Beyond Home Care LLC Nursing Care 1750 Fm 423 Apt 741, Frisco, TX 75033-0523 2020-08-05
1083232045 Entrusted Pediatric Home Care L.L.C. Nursing Care 2912 Saint Federico Way, Round Rock, TX 78665-5687 2020-07-07
1467079814 Ifeyinwa Winifred Bates Nursing Care 11643 Breezy Knoll Dr, Houston, TX 77064-2104 2020-07-01
1164047478 Proline 121 LLC Nursing Care 3702 Dandridge Cir, Garland, TX 75040-3506 2020-06-11
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Competitor

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City PORT LAVACA
Zip Code 77979

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Dataset Information

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.

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