MEMORIAL MEDICAL CLINIC
NPI 1497153589
Clinic/Center - Rural Health in Port Lavaca, TX
NPI Status: Active since December 05, 2014
Contact Information
1016 N VIRGINIA ST
PORT LAVACA, TX
ZIP 77979
Phone: (361) 552-0325
Fax: (361) 500-6904
- Organization
- Clinic/Center
- Rural Health
- Accepts Insurance
About MEMORIAL MEDICAL CLINIC
This page provides the complete NPI Profile along with additional information for Memorial Medical Clinic, a primary care provider established in Port Lavaca, Texas operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1497153589 assigned on December 2014. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated one year ago. Memorial Medical Clinic operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Memorial Medical Clinic. The authorized official of this NPI record is Erin Clevenger (Ceo)
- NPI
- 1497153589
- Provider Legal Name
- MEMORIAL MEDICAL CENTER
- Other Organization Name
- MEMORIAL MEDICAL CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1016 N VIRGINIA ST PORT LAVACA, TX 77979
- Location Phone
- (361) 552-0325
- Location Fax
- (361) 500-6904
- Mailing Address
- 815 N VIRGINIA ST PORT LAVACA, TX 77979
- Mailing Phone
- (361) 552-6713
- Mailing Fax
- (361) 500-6904
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-05-2014
- Last Update Date
- 10-30-2024
- Code Navigator
A primary care provider (PCP) like Memorial Medical Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rural Health
- Taxonomy Code
- 261QR1300X
- Type
- Ambulatory Health Care Facilities
- License State
- TX
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | (TX) |
| 2 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | (TX) |
| 3 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | (TX) |
| 4 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 5 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | (TX) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold - PPO
- Elite Gold + Vision + Adult Dental - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Community Premier Bronze 003 (No deductible for PCP, Free Preventive Care, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Premier Bronze 018 (No deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Premier Gold 005 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Premier Gold 021 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Premier Silver 012 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Premier Silver 020 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Select Bronze 016 (No deductible for PCP & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Select Gold 022 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Select Silver 019 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 137909112 | MEDICAID (05) | TX | |
| 673422 | OTHER (01) | TX | MEDICARE RHC |
Reviews for MEMORIAL MEDICAL CLINIC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 9 | 7 | 1 | 5 | 3 | 5 | 8 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 2 | 5 | 6 | 5 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 2 + 5 + 6 + 5 + 1 + 6 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1497153589 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 14 providers are registered at the same or nearby location.
ANGELA MARIE-GARCIA DOBBINS PA-C
Physician Assistant
(Medical)
1016 N VIRGINIA ST
PORT LAVACA, TX
ZIP 77979
DR. CAROL ANN ANDRUS M.D.
Family Medicine
1016 N VIRGINIA ST
PORT LAVACA, TX
ZIP 77979
MR. MICHAEL ALLEN PFEIL JR. FNP-C
Nurse Practitioner
(Family)
1016 N VIRGINIA ST
PORT LAVACA, TX
ZIP 77979
MRS. MERCEDES SCHULTZ MD
Obstetrics & Gynecology
1016 N VIRGINIA ST
PORT LAVACA, TX
ZIP 77979
DR. RICHARD ARROYO-DIAZ MD
Internal Medicine
1016 N VIRGINIA ST
PORT LAVACA, TX
ZIP 77979
MRS. SHANMEI LIN MARTINEZ FNP-C
Nurse Practitioner
(Family)
1016 N VIRGINIA ST
PORT LAVACA, TX
ZIP 77979
MRS. TASHA NORMAN MSN, APRN, FNP-C
Nurse Practitioner
(Family)
1016 N VIRGINIA ST
PORT LAVACA, TX
ZIP 77979
DR. MARCELINA RUPLEY M.D.
Pediatrics
1016 N VIRGINIA ST
PORT LAVACA, TX
ZIP 77979
DR. FRANK CHRISTOPHER HINDS M.D.
Obstetrics & Gynecology
1016 N VIRGINIA ST
PORT LAVACA, TX
ZIP 77979
DR. JOSEPH DILLON JENKINS D.O.
Family Medicine
1016 N VIRGINIA ST
PORT LAVACA, TX
ZIP 77979
DR. WILLIAM J CROWLEY III D.O.
Family Medicine
1016 N VIRGINIA ST
PORT LAVACA, TX
ZIP 77979
COURTNE THURLKILL FNP
Nurse Practitioner
(Family)
1016 N VIRGINIA ST
PORT LAVACA, TX
ZIP 77979
TRACI SHEFCIK FNP
Nurse Practitioner
(Family)
1016 N VIRGINIA ST
PORT LAVACA, TX
ZIP 77979
SHANNA O'DONNELL FNP
Nurse Practitioner
(Family)
1016 N VIRGINIA ST
PORT LAVACA, TX
ZIP 77979
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497153589, enumerated as an "organization" on December 05, 2014.
The provider is located at 1016 N VIRGINIA ST PORT LAVACA, TX 77979 and the phone number is (361) 552-0325.
Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.
The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.
