OrganizationActive
Memorial Medical Clinic
NPI 1578960647 · Critical Access Hospital · Port Lavaca, TX
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
Practice location
815 N Virginia St
Port Lavaca, TX 77979-3025
Phone: (361) 552-0224
Fax: (361) 552-0220
Approximate (ZIP-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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.