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NACOGDOCHES MEMORIAL HOSPITAL
NPI 1073183141
General Acute Care Hospital in Nacogdoches, TX

Active since June 30, 2021CLIA Certified · 2 labs
1204 N MOUND ST, NACOGDOCHES, TX 75961(936) 564-4611 Get Directions Write a Review

NPPES record last updated: October 26, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 26, 2022, Jul 28, 2022, Mar 2, 2022 and 1 more (4 updates tracked since 2021).

About Nacogdoches Memorial Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NACOGDOCHES MEMORIAL HOSPITAL (NPI 1073183141) is a healthcare organization registered as a general acute care hospital in Nacogdoches, Texas and active in the NPI registry since June 2021. The organization holds 2 active CLIA laboratory certificates and lists Brandy Boyd, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1073183141
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameLION STAR NACOGDOCHES HOSPITAL, LLC
Location Address1204 N MOUND STNacogdoches, TX 75961-4027
Mailing Address1204 N Mound StNacogdoches, TX 75961-4027 · (936) 564-4611
Phone(936) 564-4611
Organization SubpartNo
Authorized OfficialBrandy BoydChief Financial Officer · (936) 568-8525
Enumeration DateJune 30, 2021
Last NPPES UpdateOctober 26, 20224 updates tracked since enumeration
NPPES CertifiedOctober 26, 2022
✔ NPI 1073183141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
Also ListedClinic/Center · Ambulatory SurgicalTaxonomy 261QA1903X
1204 N MOUND ST, Nacogdoches, TX 75961
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Other Names 1

Doing Business AsNacogdoches Memorial Hospital

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0674852

Nacogdoches Memorial Professional Group · Nacogdoches, TX
Active · expires Dec 31, 2027
CLIA Number45D0674852
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorJames Otto
Laboratory Phone(936) 564-4611
Laboratory LocationNacogdoches Memorial Professional Group1018 N Mound Street, Suite 205, Nacogdoches, TX 75961
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2087307

Nacogdoches Memorial Professional Group · Nacogdoches, TX
Active · expires Nov 4, 2026
CLIA Number45D2087307
Laboratory TypePhysician Office
Certificate Effective DateNovember 5, 2024
Certificate Expiration DateNovember 4, 2026
Laboratory DirectorMaria Jenkins
Laboratory Phone(936) 564-4611
Laboratory LocationNacogdoches Memorial Professional Group1023 N Mound Street, Suite A, Nacogdoches, TX 75961
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAWRENCE QUINN ROBINSON MD
Family Medicine
1204 N MOUND ST
NACOGDOCHES, TX 75961
Nacogdoches County (936) 569-4646
LIESEL E.A. LEEDY MD PA
Anesthesiology
1204 N MOUND ST
NACOGDOCHES, TX 75961
Nacogdoches County (936) 564-4611
NACOGDOCHES COUNTY HOSPITAL DISTRICT
Obstetrics & Gynecology
1204 N MOUND ST
NACOGDOCHES, TX 75961
Nacogdoches County (936) 568-8523
MRS. SABRINA GUILLORY CNM
Advanced Practice Midwife
1204 N MOUND ST
NACOGDOCHES, TX 75961
Nacogdoches County (936) 569-4101
MARY BETH CALME M.D.
Radiology (Diagnostic Radiology)
1204 N MOUND ST, NACOGDOCHES MEMORIAL HOSPITAL RADIOLOGY DEPT
NACOGDOCHES, TX 75961
Nacogdoches County (936) 558-3567
LONE STAR EMERGENCY SERVICES OF EAST TEXAS PLLC
Emergency Medicine
1204 N MOUND ST
NACOGDOCHES, TX 75961
Nacogdoches County (936) 564-4611
WALLACE D WOMACK CRNA
Nurse Anesthetist, Certified Registered
1204 N MOUND ST
NACOGDOCHES, TX 75961
Nacogdoches County (936) 568-8525
NACOGDOCHES COUNTY HOSPITAL DISTRICT
General Acute Care Hospital (Rural)
1204 N MOUND ST
NACOGDOCHES, TX 75961
Nacogdoches County (936) 564-4611

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lion Star Nacogdoches Hospital, LLC's NPI number?

The NPI number for Lion Star Nacogdoches Hospital, LLC is 1073183141. It was assigned to this organization in the NPPES registry on June 30, 2021. The provider is doing business as Nacogdoches Memorial Hospital.

Where is Lion Star Nacogdoches Hospital, LLC located?

Lion Star Nacogdoches Hospital, LLC is located at 1204 N Mound St, Nacogdoches, TX 75961. The listed phone number is (936) 564-4611.

What is Lion Star Nacogdoches Hospital, LLC's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Does Lion Star Nacogdoches Hospital, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Lion Star Nacogdoches Hospital, LLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Lion Star Nacogdoches Hospital, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lion Star Nacogdoches Hospital, LLC was last updated on October 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.