OrganizationActive
Memorial Medical Clinic
NPI 1578960647 · Critical Access Hospital · Port Lavaca, TX
Memorial Medical Clinic is a Critical Access Hospital organization in Port Lavaca, TX (NPI 1578960647).
Provider details
- NPI number
- 1578960647
- Entity type
- Organization
- Primary specialty
- Critical Access HospitalHospitals
- Organization subpart
- No
- Authorized official
- Diane Moore, Cfo(361) 552-0224
- License
- 000487 (TX)
Specialties & taxonomies
Hospitals
Profile Score
Detailed profile(75/100 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) 552-0224
Fax: (361) 552-0220
Street-level locationGet directions
Mailing address
815 N Virginia St
Port Lavaca, TX 77979-3025
Registry dates
- Enumerated
- 2014-12-04
- Last updated
- 2014-12-04
Frequently asked questions
- What is Memorial Medical Clinic's NPI number?
- Memorial Medical Clinic's National Provider Identifier (NPI) is 1578960647, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Memorial Medical Clinic?
- Memorial Medical Clinic is classified in the NPPES registry as Critical Access Hospital (Hospitals).
- Where is Memorial Medical Clinic located?
- Memorial Medical Clinic's practice location on file with NPPES is 815 N Virginia St, Port Lavaca, TX 77979-3025.
- What is Memorial Medical Clinic's phone number?
- The practice phone number listed in the NPPES registry for Memorial Medical Clinic is (361) 552-0224.
- Who is the authorized official for Memorial Medical Clinic?
- The authorized official listed on Memorial Medical Clinic's NPPES record is Diane Moore, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Memorial Medical Clinic's NPI active?
- Yes — Memorial Medical Clinic's NPI (1578960647) is active in the NPPES registry as of the last update on 2014-12-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.