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MEMORIAL HOSPITAL NPI 1215968748


NPI Information

NPI: 1215968748
Provider Name: MEMORIAL HOSPITAL
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
1204 N MOUND ST
NACOGDOCHES, TX
ZIP 75961
Phone: (936) 564-4611
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MEMORIAL HOSPITAL is an emergency medicine in Nacogdoches, TX. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. MEMORIAL HOSPITAL NPI is 1215968748. The provider is registered as an organization entity type and is a multi-specialty group.

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 7/5/2006 and was last updated on 8/11/2008.


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
1176B00000XMidwife000478TEXASNo
2363A00000XPhysician Assistant000478TEXASNo
3367500000XNurse Anesthetist, Certified Registered000478TEXASNo
4207P00000XEmergency Medicine000478TEXASYes

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
1=========OTHERTEXASTAX ID INSURANCE
200FX38MEDICARE PINTEXAS
3131030201MEDICAIDTEXAS

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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