OrganizationActive
Memorial Medical Center
NPI 1104203181 · Surgery Physician · Port Lavaca, TX
Memorial Medical Center is a Surgery Physician organization in Port Lavaca, TX (NPI 1104203181).
Provider details
- NPI number
- 1104203181
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Erin Clevenger, Ceo(361) 552-0454
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
815 N Virginia St
Port Lavaca, TX 77979-3025
Phone: (361) 552-6713
Fax: (361) 552-0220
Street-level locationGet directions
Mailing address
815 N Virginia St
Port Lavaca, TX 77979-3025
Registry dates
- Enumerated
- 2015-04-29
- Last updated
- 2026-03-04
- Certified
- 2026-03-04
Frequently asked questions
- What is Memorial Medical Center's NPI number?
- Memorial Medical Center's National Provider Identifier (NPI) is 1104203181, 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 Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Memorial Medical Center located?
- Memorial Medical Center's practice location on file with NPPES is 815 N Virginia St, 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) 552-6713.
- 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 (1104203181) is active in the NPPES registry as of the last update on 2026-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.