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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251J00000X | Nursing Care | Agencies |
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 |
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 |
Street Address |
118 TRINITY SHORES DRIVE |
City | PORT LAVACA |
State | TX |
Zip Code | 77979 |
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 |
Find all providers in zip 77979 |
Taxonomy Code | 251J00000X |
Grouping | Agencies |
Classification | Nursing Care |
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] |
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 |
Find all providers with the same taxonomy |
City | PORT LAVACA |
Zip Code | 77979 |
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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.