Memorial Medical Center
NPI 1053964742 · Rural Health Clinic/Center · Port Lavaca, TX
Enrolled with Medicare as Part a Provider - Rural Health Clinic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Memorial Medical Center is a Rural Health Clinic/Center organization in Port Lavaca, TX (NPI 1053964742).
Provider details
- NPI number
- 1053964742
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Memorial Medical Center
- Organization subpart
- Yes
- Authorized official
- Erin Clevenger, Ceo(361) 552-6713
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
- General Practice Physician208D00000X
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Memorial Medical Clinic Hospital Campus
- Doing business as
- Memorial Medical Clinic Hospital Campus
Registry dates
- Enumerated
- 2019-07-22
- Last updated
- 2025-09-19
- Certified
- 2025-09-19
Frequently asked questions
- What is Memorial Medical Center's NPI number?
- Memorial Medical Center's National Provider Identifier (NPI) is 1053964742, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Memorial Medical Center?
- Memorial Medical Center is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Memorial Medical Center located?
- Memorial Medical Center's practice location on file with NPPES is 815 N Virginia St Fl 2, Port Lavaca, TX 77979-3025.
- What is Memorial Medical Center's phone number?
- The practice phone number listed in the NPPES registry for Memorial Medical Center is (361) 552-0379.
- Does Memorial Medical Center accept Medicare?
- Memorial Medical Center is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Memorial Medical Center?
- The authorized official listed on Memorial Medical Center's NPPES record is Erin Clevenger, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Memorial Medical Center's NPI active?
- Yes — Memorial Medical Center's NPI (1053964742) is active in the NPPES registry as of the last update on 2025-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.