Memorial Hospital

LBN: Memorial Hospital
Memorial Hospital is an health care organization with primary practice located at 1204 N Mound St , Nacogdoches TX 75961-4027. The organization recently has 4 registered licenses in different health care specialties including Other Service Providers / Midwife, Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Allopathic & Osteopathic Physicians / Emergency Medicine is the primary health care specialty. Memorial Hospital can be contacted via phone (936) 564-4611, or through Bridges, Jane Ann via phone (936) 568-8525.

Contact Information

Primary practice address
1204 N Mound St Nacogdoches TX 75961-4027
Phone: (936) 564-4611
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bridges, Jane Ann CPA
Phone: (936) 568-8525

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 000478 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 000478 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 000478 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 000478 Texas

Profile Details

NPI number 1215968748
LBN Legal business name Memorial Hospital
DBA Doing business as
Authorized official Bridges, Jane Ann CPA
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2006
Last updated Aug 11th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215968748 NPPES
Texas MEDICAID 131030201

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