| Memorial Medical Center | |
|
1016 N Virginia St Port Lavaca TX 77979-3000 | |
| (361) 552-0325 | |
| (361) 500-6904 |
| Full Name | Memorial Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1016 N Virginia St, Port Lavaca, Texas |
| Authorized Official Name and Position | Erin Clevenger (CEO) |
| Authorized Official Contact | 3615526713 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Medical Center 815 N Virginia St Port Lavaca TX 77979-3025 Ph: (361) 552-6713 | Memorial Medical Center 1016 N Virginia St Port Lavaca TX 77979-3000 Ph: (361) 552-0325 |
| NPI Number | 1497153589 |
|---|---|
| Provider Enumeration Date | 12/05/2014 |
| Last Update Date | 10/30/2024 |
| Medicare PECOS PAC ID | 3072403096 |
|---|---|
| Medicare Enrollment ID | O20141022000403 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497153589 | NPI | - | NPPES |
| 137909112 | Medicaid | TX | |
| 673422 | Other | TX | MEDICARE RHC |
Memorial Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 815 N Virginia St Fl 2, Port Lavaca, TX 77979 Phone: 361-552-0379 Fax: 361-500-6904 | |
Port Lavaca Clinic Associates Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1200 North Virginia, Port Lavaca, TX 77979 Phone: 361-552-6721 Fax: 361-552-7463 | |
New Vitality Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1207 N Virginia St, Port Lavaca, TX 77979 Phone: 361-746-1588 Fax: 361-400-5310 | |
Memorial Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 N Virginia St, Port Lavaca, TX 77979 Phone: 361-552-0325 Fax: 361-553-7815 |