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 only one registered license in Suppliers / Institutional Pharmacy, which is considered as the primary health care specialty. Memorial Hospital can be contacted via phone (936) 569-4657, or through Schaefer, David via phone (936) 568-8415.

Contact Information

Primary practice address
1204 N Mound St Nacogdoches TX 75961-4027
Phone: (936) 569-4657
Fax: (936) 569-4689
Website:
Map and Directions
Authorized official contact:
Name: Schaefer, David
Phone: (936) 568-8415

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Institutional Pharmacy 3336I0012X 3104 Texas

Profile Details

NPI number 1235158205
LBN Legal business name Memorial Hospital
DBA Doing business as Memorial Hospital
Authorized official Schaefer, David
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2006
Last updated Jan 14th, 2015 - about 9 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 1235158205 NPPES
Other 2097683 PK
MEDICAID 250249 PK

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