Memorial Medical Clinic

LBN: Memorial Medical Center
Memorial Medical Clinic is an health care organization with primary practice located at 1016 N. Virginia St. , Port Lavaca TX 77979-0000. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Memorial Medical Center can be contacted via phone (361) 552-0325, or through Anglin, Jason via phone (361) 552-6713.

Contact Information

Primary practice address
1016 N. Virginia St. Port Lavaca TX 77979-0000
Phone: (361) 552-0325
Fax: (361) 552-8759
Website:
Map and Directions
Authorized official contact:
Name: Anglin, Jason
Phone: (361) 552-6713

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Texas
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X Texas
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X Texas
Ambulatory Health Care Facilities / Rural Health 261QR1300X Texas
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X Texas

Profile Details

NPI number 1497153589
LBN Legal business name Memorial Medical Center
DBA Doing business as Memorial Medical Clinic
Authorized official Anglin, Jason
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2014
Last updated Feb 9th, 2016 - 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 1497153589 NPPES
Texas MEDICAID 137909112
Texas Other 673422

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