MEMORIAL MEDICAL CENTER-SAN AUGUSTINE NPI 1346699337

NPI Information

NPI: 1346699337
Provider Name: MEMORIAL MEDICAL CENTER-SAN AUGUSTINE

Doing Business As: HOSPITAL STREET RURAL HEALTH CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
504 E HOSPITAL ST
SAN AUGUSTINE, TX
ZIP 75972
Phone: (936) 275-9716
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MEMORIAL MEDICAL CENTER-SAN AUGUSTINE is a rural health clinic center in San Augustine, TX. MEMORIAL MEDICAL CENTER-SAN AUGUSTINE NPI is 1346699337. The provider is registered as an organization entity type.
The provider Is Doing Business As Hospital Street Rural Health Clinic.

The provider's business location address is:

504 E HOSPITAL ST
SAN AUGUSTINE, TX
ZIP 75972-122
Phone: (936) 275-9716
Fax: (936) 288-0588

The provider's authorized official is Lillie Darlene Williams .
The authorized official title is Administrator/cno and has the following contact phone number (936) 275-3446.

The enumeration date for this NPI number is 6/9/2016 and was last updated on 6/9/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health	000072	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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