MEMORIAL MEDICAL CENTER (NPI# 1922092790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922092790 |
| Entity Type | Organization |
| Organization Name | MEMORIAL MEDICAL CENTER |
| Other Organization Name | GULF POINTE PLAZA |
| Practice Address |
1008 Enterprise Blvd Rockport TX 78382-3201 |
| Mailing Address |
1780 Hughes Landing Blvd Ste 500 Spring TX 77380-4009 |
| Practice Telephone | 3617295254 |
| Practice Fax Number | 3617293820 |
| Mailing Telephone | 2814195520 |
| Mailing Fax Number | 2814195527 |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2019-10-09 |
| Authorized Official Name | LAURENCE DASPIT (CFO) |
| Authorized Official Telephone | 2814195520 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | 115451 | TX | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 128934 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICAID CO B | 151208901 | 01 |
| TX | 001003269 | 05 |
| Other Name | Type Code |
|---|---|
| Gulf Pointe Plaza | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719836 | Memorial Medical Center | Nursing Care | 118 Trinity Shores Drive, Port Lavaca, TX 77979 | 2019-09-18 |
| 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 |
| 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 |
1008 ENTERPRISE BLVD |
| City | ROCKPORT |
| State | TX |
| Zip Code | 78382-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912480781 | Virginia Gayle Fleming-randolph | Physical Therapy Assistant | 1008 Enterprise Blvd, Rockport, TX 78382-3201 | 2018-09-07 |
| 1770065427 | Karen Drew Linn | Physical Therapist | 1008 Enterprise Blvd, Rockport, TX 78382-3201 | 2018-08-29 |
| 1912488651 | Christopher E. Taylor | Physical Therapist | 1008 Enterprise Blvd, Rockport, TX 78382-3201 | 2018-08-21 |
| 1750668828 | Michelle Suzanne Antoni | Occupational Therapist | 1008 Enterprise Blvd, Rockport, TX 78382-3201 | 2011-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618297 | Youngjoon Lee Kim | Dentist | 2347 Tx-35 Bus, Rockport, TX 78382 | 2020-08-03 |
| 1568013951 | Tracy Ann Oros | Nurse Practitioner | 400 North Enterprise, Rockport, TX 78382 | 2019-09-26 |
| 1831545219 | Gillian Cox | Registered Nurse | 161 Bernardy Rd, Rockport, TX 78382 | 2016-05-04 |
| 1043627029 | Jonathan Marcus Heyward | Counselor | 620 East Concho, Rockport, TX 78382 | 2014-07-22 |
| 1013322510 | Code 3 Emergency Physicians, Pa | Emergency Medicine | 400 Enterprise Blvd Ste A100, Rockport, TX 78382 | 2014-06-24 |
| 1114344728 | Barbara Bridges | Audiologist-Hearing Aid Fitter | 1723 Cherry St Ste 1, Rockport, TX 78382 | 2014-03-20 |
| 1962779959 | Lorraine Michele Cameron | Student in an Organized Health Care Education/Training Program | 1801 Omohundro Dr, Rockport, TX 78382 | 2011-11-19 |
| 1063723641 | Calvin Kimura | Pharmacist | 1309 Sh 35 N, Rockport, TX 78382 | 2010-06-29 |
| 1811212269 | Jadron LLC | Home Health | 2600 Lakeview Dr., St. 2, Rockport, TX 78382 | 2010-03-29 |
| 1316123342 | Linda Faye Lemmons | Speech-Language Pathologist | 1703 Bayshores Dr, Rockport, TX 78382 | 2008-01-22 |
| Find all providers in zip 78382 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619988904 | Rockport Coastal Care Center, Inc. | Skilled Nursing Facility | 1004 S Young St, Rockport, TX 78382-3933 | 2006-08-11 |
| 1538147467 | Oak Crest Nursing Center | Skilled Nursing Facility | 1902 Fm 3036, Rockport, TX 78382-9691 | 2005-12-30 |
| 1639629439 | Wv-rockport Snf Opco, LLC | Skilled Nursing Facility | 44 South St, Rockport, MA 01966-1800 | 2016-10-05 |
| 1437512472 | Nsl Den-mar LLC | Skilled Nursing Facility | 44 South St, Rockport, MA 01966-1800 | 2016-03-29 |
| 1497173819 | Ch-den Mar LLC | Skilled Nursing Facility | 44 South St, Rockport, MA 01966-1800 | 2014-04-02 |
| 1518915099 | Uvalde County Hospital Authority | Skilled Nursing Facility | 1902 Fm 3036, Rockport, TX 78382-9691 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233171 | Center At Zaragoza, LLC | Skilled Nursing Facility | 12660 Pebble Hills Blvd., El Paso, TX 79936 | 2020-10-21 |
| 1609473362 | Touchstone Strategies - Penitas, LLC | Skilled Nursing Facility | 414 Liberty Blvd., Penitas, TX 78576 | 2020-10-06 |
| 1649884313 | Springtown Ventures Lp | Skilled Nursing Facility | 201 Williams Ward Rd., Springtown, TX 76082 | 2020-09-01 |
| 1821601691 | Altamira Healthcare LLC | Skilled Nursing Facility | 200 Carla St, Zapata, TX 78076-3114 | 2020-08-31 |
| 1538770839 | Go Operations 3 LLC | Skilled Nursing Facility | 4366 Lockhill Selma, Shavano, TX 78249 | 2020-08-11 |
| 1912516329 | Patriot Skilled Nursing and Rehabilitation LLC | Skilled Nursing Facility | 11490 Gateway N Blvd., El Paso, TX 79934 | 2020-07-31 |
| 1972112464 | The Brixton At Horseshoe Bay | Skilled Nursing Facility | 15101 West Fm 2147, Horseshoe Bay, TX 78657 | 2020-07-30 |
| 1558984278 | Slp Johnson City LLC | Skilled Nursing Facility | 206 Haley Rd, Johnson City, TX 78636-4617 | 2020-05-28 |
| 1073136149 | Continuum Rehab Group | Skilled Nursing Facility | 3326 Burgoyne St # 1432, Dallas, TX 75233-1304 | 2020-05-24 |
| 1750904264 | Frank Villanueva | Skilled Nursing Facility | 711 W Broadway St, Denver City, TX 79323-3000 | 2020-05-19 |
| 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.