MEMORIAL MEDICAL CENTER- SAN AUGUSTINE (NPI# 1578547345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578547345 |
| Entity Type | Organization |
| Organization Name | MEMORIAL MEDICAL CENTER- SAN AUGUSTINE |
| Practice Address |
511 Hospital St San Augustine TX 75972 |
| Mailing Address |
P O Box 1447 Lufkin TX 75902-1447 |
| Practice Telephone | 9362753446 |
| Practice Fax Number | 9362759921 |
| Mailing Telephone | 9362753446 |
| Mailing Fax Number | 9362759921 |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2018-06-12 |
| Authorized Official Name | MR. DUANE MILLER (CFO) |
| Authorized Official Telephone | 9366348111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 130734007 | 05 |
| Street Address |
511 HOSPITAL ST |
| City | SAN AUGUSTINE |
| State | TX |
| Zip Code | 75972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548363526 | Memorial Medical Center-san Augustine | General Acute Care Hospital | 511 Hospital St, San Augustine, TX 75972 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861619801 | Kim Marie Laird | Physical Therapy Assistant | Rt. 1 Box 725 Hwy 96 South, San Augustine, TX 75972 | 2007-04-19 |
| 1356465447 | D & H Enterprises | Assisted Living Facility | 1997 Davidson Drive, San Augustine, TX 75972 | 2007-03-16 |
| 1417052036 | Charles K Layton | Dentist | Rt 5 Box 723d, San Augustine, TX 75972 | 2006-09-14 |
| 1609953744 | Mathews Rental Inc | Durable Medical Equipment & Medical Supplies | 112 W Columbia Street, San Augustine, TX 75972-0207 | 2006-11-01 |
| 1033774906 | Kaneitra Nicole Garrett | Licensed Vocational Nurse | 924 Oliver St, San Augustine, TX 75972-1042 | 2019-05-07 |
| 1366842478 | Rebecca Hubbard | Specialist/Technologist | 805 N Milam St, A, San Augustine, TX 75972-1413 | 2014-08-26 |
| 1962496836 | Liberty County Hospital District No. 1 | Skilled Nursing Facility | 1203 Fm 1277, San Augustine, TX 75972-1635 | 2005-09-07 |
| 1295215010 | Curtis Leon Pillow Jr. | Physical Therapy Assistant | 1203 Fm 1277, San Augustine, TX 75972-1635 | 2018-08-21 |
| 1831192368 | Nacogdoches County Hospital District | Skilled Nursing Facility | 451 S El Camino Xing, San Augustine, TX 75972-1666 | 2005-05-30 |
| 1629559190 | Lindsey Blackshear | Occupational Therapy Assistant | 451 S El Camino Xing, San Augustine, TX 75972-1666 | 2018-08-23 |
| Find all providers in zip 75972 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548363526 | Memorial Medical Center-san Augustine | General Acute Care Hospital | 511 Hospital St, San Augustine, TX 75972 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629514203 | Tmc Bonham Hospital | General Acute Care Hospital | 504 Lispcomb Blvd, Bonham, TX 75418 | 2017-01-06 |
| 1164772216 | Methodist West Houston Hospital | General Acute Care Hospital | 5807 Grand Saline Dr, Richmond, TX 77469-6173 | 2012-09-17 |
| 1528367356 | Liberty County Hospital District No 1 | General Acute Care Hospital | 1353 N Travis, Liberty, TX 77575-3549 | 2011-03-18 |
| 1669613105 | Kingsbrook Jewish Medical Center | General Acute Care Hospital | 1404 Savoy Ct, Colleyville, TX 76034-6267 | 2009-03-12 |
| 1578724811 | Vaishali Kawaduji Bhusari | General Acute Care Hospital | 4555 Lorraine Ave, Dallas, TX 75205-3612 | 2008-06-19 |
| 1548457682 | Audie Murphy Va Hospital | General Acute Care Hospital | 4041 Merton Minter, San Antonio, TX 78229 | 2007-10-03 |
| 1033309323 | George Daniel Williamson | General Acute Care Hospital | 5087 E State Highway 22, Hamilton, TX 76531-1355 | 2007-08-01 |
| 1396861324 | Dr. Carlos F. Morales Md. | General Acute Care Hospital | 4414 Centerview Dr., Ste 168, San Antonio, TX 78228-1404 | 2007-03-21 |
| 1780786699 | Palacios Community Medical Center | General Acute Care Hospital | 311 Green Ave, Palacios, TX 77465-3213 | 2006-09-01 |
| 1033229778 | Va Hospital | General Acute Care Hospital | 8222 Lone Bridge Ln, Humble, TX 77338-1726 | 2006-08-30 |
| Find all providers with the same taxonomy | ||||
| City | SAN AUGUSTINE |
| Zip Code | 75972 |
Please comment or provide details below to improve the information on MEMORIAL MEDICAL CENTER- SAN AUGUSTINE.
| 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.