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MEMORIAL HOSPITAL OF POLK COUNTY NPI 1689650616


NPI Information

NPI: 1689650616
Provider Name: MEMORIAL HOSPITAL OF POLK COUNTY

Doing Business As: CHI ST. LUKE'S HEATH MEMORIAL LIVINGSTON

Classification: General Acute Care Hospital - 282NR1301X
Entity Type: Organization

Specialization: Rural

CLIA Number: 45D0697930

Address:
1717 HIGHWAY 59 BYPASS
LIVINGSTON, TX
ZIP 77351
Phone: (936) 327-4381
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MEMORIAL HOSPITAL OF POLK COUNTY is a rural general acute care hospital in Livingston, TX. MEMORIAL HOSPITAL OF POLK COUNTY NPI is 1689650616. The provider is registered as an organization entity type.
The provider Is Doing Business As Chi St. Luke's Heath Memorial Livingston.

The provider's business location address is:

1717 HIGHWAY 59 BYPASS
LIVINGSTON, TX
ZIP 77351
Phone: (936) 327-4381
Fax: (936) 327-8702

The provider's authorized official is Megan Glass .
The authorized official title is Reimbursement Analyst and has the following contact phone number (936) 639-7661.

The CLIA number assigned to this NPI record is 45D0697930 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/21/2005 and was last updated on 4/1/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory Surgical000466TEXASNo
2282N00000XGeneral Acute Care HospitalNo
3282NR1301XGeneral Acute Care HospitalRuralYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1112697102MEDICAIDTEXAS

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.