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NPI 1689630865

OrganizationActive

Memorial Medical Center

NPI 1689630865 · Critical Access Hospital · Port Lavaca, TX

Provider details

NPI number: 1689630865
Entity type: Organization
Primary specialty: Critical Access HospitalHospitals
Authorized official: Erin Clevenger, Ceo
License: 000487 (TX)

Practice location

815 N Virginia St

Port Lavaca, TX 77979-3025

Phone: (361) 552-6713

Fax: (361) 552-0338

More TX providers

Mailing address

815 N Virginia St

Port Lavaca, TX 77979-3025

Registry dates

Enumerated: 2006-04-25
Last updated: 2026-03-02

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Memorial Medical Center — NPI 1689630865, Port Lavaca, TX | NPI Central