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MEMORIAL HEALTH SYSTEM OF EAST TEXAS NPI 1083162473


NPI Information

NPI: 1083162473
Provider Name: MEMORIAL HEALTH SYSTEM OF EAST TEXAS

Doing Business As: CHI ST LUKE'S HEALTH MEMORIAL IDTF MOBILE UNIT

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
1201 W FRANK AVE
LUFKIN, TX
ZIP 75904
Phone: (936) 634-8111
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MEMORIAL HEALTH SYSTEM OF EAST TEXAS is a medical specialty clinic center in Lufkin, TX. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). MEMORIAL HEALTH SYSTEM OF EAST TEXAS NPI is 1083162473. The provider is registered as an organization entity type.
The provider Is Doing Business As Chi St Luke's Health Memorial Idtf Mobile Unit.

The provider's business location address is:

1201 W FRANK AVE
LUFKIN, TX
ZIP 75904
Phone: (936) 634-8111

The provider's authorized official is Shelli Brooks .
The authorized official title is Cfo and has the following contact phone number (936) 631-6702.

The enumeration date for this NPI number is 9/14/2016 and was last updated on 9/15/2022.


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
1261QR0208XClinic/CenterRadiology, MobileNo
2282N00000XGeneral Acute Care Hospital00129TEXASNo
3261QM2500XClinic/CenterMedical SpecialtyYes

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

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.