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MEMORIAL HOSPITAL NPI 1932137916


NPI Information

NPI: 1932137916
Provider Name: MEMORIAL HOSPITAL

Doing Business As: HOSPICE OF DEEP EAST TEXAS

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
1204 N MOUND ST
NACOGDOCHES, TX
ZIP 75961
Phone: (936) 564-4611
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MEMORIAL HOSPITAL is a hospice care community based in Nacogdoches, TX. MEMORIAL HOSPITAL NPI is 1932137916. The provider is registered as an organization entity type.
The provider Is Doing Business As Hospice Of Deep East Texas.

The provider's business location address is:

1204 N MOUND ST
NACOGDOCHES, TX
ZIP 75961-027
Phone: (936) 564-4611

The provider's authorized official is Jane Ann Bridges .
The authorized official title is Chief Financial Officer and has the following contact phone number (936) 568-8525.

The enumeration date for this NPI number is 6/29/2006 and was last updated on 1/28/2010.


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
1251G00000XHospice Care, Community Based000478TEXASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
145-1546MEDICARE ID-TYPE UNSPECIFIEDTEXASMEDICARE HOSPICE
2=========OTHERTEXASTAX ID INSURANCE
3000205000MEDICAIDTEXAS

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
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