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:
Health care specialties
| Specialty | Code | License # | 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 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497153589 | NPPES |
| Texas | MEDICAID | 137909112 | |
| Texas | Other | 673422 |
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