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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MEMORIAL MEDICAL CENTER
NPI 1104203181
Surgery in Port Lavaca, TX

Active since April 29, 2015
815 N VIRGINIA ST, PORT LAVACA, TX 77979(361) 552-6713(361) 552-0220 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 6, 2026, Mar 4, 2026 (2 updates tracked since 2026).

About Memorial Medical Center NPPES

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

MEMORIAL MEDICAL CENTER (NPI 1104203181) is a healthcare organization registered as a surgery in Port Lavaca, Texas and active in the NPI registry since April 2015. The organization lists Erin Clevenger, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104203181
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameMEMORIAL MEDICAL CENTER
Location Address815 N VIRGINIA STPort Lavaca, TX 77979-3025
Mailing Address815 N Virginia StPort Lavaca, TX 77979-3025 · (361) 552-6713 · Fax (361) 552-0220
Phone(361) 552-6713
Fax(361) 552-0220
Organization SubpartNo
Authorized OfficialErin ClevengerCeo · (361) 552-0454
Enumeration DateApril 29, 2015
Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1104203181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
815 N VIRGINIA ST, Port Lavaca, TX 77979
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Other Identifiers 2

OtherT225TX · Medicare Part B
Medicaid137909103TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

Other Providers at the Same Location NPPES 19

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

ADAM NICHOLAS MYERS CRNA
Nurse Anesthetist, Certified Registered
815 N VIRGINIA ST
PORT LAVACA, TX 77979
Calhoun County (361) 552-0222
ROBERT D COLEMAN CRNA
Nurse Anesthetist, Certified Registered
815 N VIRGINIA ST
PORT LAVACA, TX 77979
Calhoun County (361) 573-6291
KRISTI BOYD FNP-C
Nurse Practitioner (Family)
815 N VIRGINIA ST
PORT LAVACA, TX 77979
Calhoun County (361) 552-6713
VICTORIA PROFESSIONAL MEDICAL CONSULTANTS, LLC
Emergency Medicine
815 N VIRGINIA ST
PORT LAVACA, TX 77979
Calhoun County (361) 552-6713
MR. GREGORY WADE COWART CRNA
Nurse Anesthetist, Certified Registered
815 N VIRGINIA ST
PORT LAVACA, TX 77979
Calhoun County (361) 552-6713
MEMORIAL MEDICAL CLINIC
General Acute Care Hospital (Critical Access)
815 N VIRGINIA ST
PORT LAVACA, TX 77979
Calhoun County (361) 552-0224
DR. PENNY PRAPINPORN CLAY D.O.
Emergency Medicine
815 N VIRGINIA ST
PORT LAVACA, TX 77979
Calhoun County (361) 552-0266
MEMORIAL MEDICAL CLINIC
Family Medicine
815 N VIRGINIA ST
PORT LAVACA, TX 77979
Calhoun County (361) 552-0325

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 Memorial Medical Center's NPI number?

The NPI number for Memorial Medical Center is 1104203181. It was assigned to this organization in the NPPES registry on April 29, 2015.

Where is Memorial Medical Center located?

Memorial Medical Center is located at 815 N Virginia St, Port Lavaca, TX 77979. The listed phone number is (361) 552-6713.

What is Memorial Medical Center's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

What insurance does Memorial Medical Center accept?

Health plans from Blue Cross and Blue Shield of Texas list Memorial Medical Center 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 Memorial Medical Center was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.