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SAN AUGUSTINE RURAL HEALTH CLINIC
NPI 1184073066
Clinic/Center - Rural Health in San Augustine, TX

Active since June 10, 2016CLIA 45D0484216 · Certificate of Compliance
200 E LIVINGSTON ST, SAN AUGUSTINE, TX 75972(936) 275-9910(936) 275-2333 Get Directions Write a Review

NPPES record last updated: June 10, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About San Augustine Rural Health Clinic NPPES

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

SAN AUGUSTINE RURAL HEALTH CLINIC (NPI 1184073066) is a healthcare organization registered as a rural health in San Augustine, Texas and active in the NPI registry since June 2016. The organization holds a CLIA Certificate of Compliance certificate valid through March 22, 2027 and lists Lillie Darlene Williams, Administrator/cno, as its authorized official.

NPPES Registry Identity

NPI1184073066
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMEMORIAL MEDICAL CENTER-SAN AUGUSTINE
Location Address200 E LIVINGSTON STSan Augustine, TX 75972-2028
Mailing Address200 E Livingston StSan Augustine, TX 75972-2028 · (936) 275-9910 · Fax (936) 275-2333
Phone(936) 275-9910
Fax(936) 275-2333
Organization SubpartYesParent: Memorial Health System Of East Texas
Authorized OfficialLillie Darlene WilliamsAdministrator/cno · (936) 275-3446
Enumeration DateJune 10, 2016
✔ NPI 1184073066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in TX · 000072
200 E LIVINGSTON ST, San Augustine, TX 75972
Open in Google Maps ↗

Other Names 1

Doing Business AsSan Augustine Rural Health Clinic

CLIA Laboratory Certificates CMS CLIA

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 Compliance 45D0484216

Memorial Medical Center San Augustine Dba Chi St Lukes Health Memorial San Augustine · San Augustine, TX
Active · expires Mar 22, 2027
CLIA Number45D0484216
Laboratory TypeHospital
Certificate Effective DateMarch 23, 2025
Certificate Expiration DateMarch 22, 2027
Laboratory DirectorDavid L. Todd
Laboratory Phone(936) 275-3446
Laboratory LocationMemorial Medical Center San Augustine Dba Chi St Lukes Health Memorial San Augustine511 E Hospital Street, San Augustine, TX 75972
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 3

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

SAN AUGUSTINE FAMILY PRACTICE PA
Family Medicine
200 E LIVINGSTON ST
SAN AUGUSTINE, TX 75972
San Augustine County (936) 275-9910
DR. JEFFREY ALAN WATSON MD
Emergency Medicine
200 E LIVINGSTON ST
SAN AUGUSTINE, TX 75972
San Augustine County (936) 275-9910
LISA MICHELLE LANE
Nurse Practitioner (Family)
200 E LIVINGSTON ST
SAN AUGUSTINE, TX 75972
San Augustine County (322) 759-9109

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-San Augustine's NPI number?

The NPI number for Memorial Medical Center-San Augustine is 1184073066. It was assigned to this organization in the NPPES registry on June 10, 2016. The provider is doing business as San Augustine Rural Health Clinic.

Where is Memorial Medical Center-San Augustine located?

Memorial Medical Center-San Augustine is located at 200 E Livingston St, San Augustine, TX 75972. The listed phone number is (936) 275-9910.

What is Memorial Medical Center-San Augustine's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Memorial Medical Center-San Augustine hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 45D0484216) is associated with this NPI, valid through March 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Memorial Medical Center-San Augustine was last updated on June 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.