MEMORIAL MEDICAL CENTER SAN AUGUSTINE
NPI 1578547345
General Acute Care Hospital - Rural in San Augustine, TX
NPI Status: Active since December 05, 2005
Contact Information
511 E HOSPITAL ST
SAN AUGUSTINE, TX
ZIP 75972
Phone: (936) 275-3446
Fax: (936) 275-9921
- Organization
- General Acute Care Hospital
- Rural
- Accepts Insurance
- CLIA Number: 45D2102549
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-24-2027
About MEMORIAL MEDICAL CENTER SAN AUGUSTINE
This page provides the complete NPI Profile along with additional information for Memorial Medical Center San Augustine, a provider established in San Augustine, Texas operating as a General Acute Care Hospital, focusing in rural . The healthcare provider is registered in the NPI registry with number 1578547345 assigned on December 2005. The practitioner's primary taxonomy code is 282NR1301X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's
- NPI
- 1578547345
- Provider Legal Name
- MEMORIAL MEDICAL CENTER SAN AUGUSTINE
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 511 E HOSPITAL ST SAN AUGUSTINE, TX 75972
- Location Phone
- (936) 275-3446
- Location Fax
- (936) 275-9921
- Mailing Address
- P O BOX 1447 LUFKIN, TX 75902
- Mailing Phone
- (936) 275-3446
- Mailing Fax
- (936) 275-9921
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-05-2005
- Last Update Date
- 05-12-2025
- Code Navigator
According to the Inpatient Rehabilitation Facility (IRF) Compare program data this facility is non-profit and was certified on 01-01-1995 This facility might have treated people with Medicare who had these medical conditions during the last year: all other conditions, brain disease or condition (non-traumatic), brain injury (traumatic), hip or femur fracture, hip or knee replacement, amputation or other bone or joint condition, nervous system disorder (excluding stroke), spinal cord disease or condition (non-traumatic), spinal cord injury (traumatic) and stroke
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
General Acute Care Hospital Rural
- Taxonomy Code
- 282NR1301X
- Type
- Hospitals
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 | 261QE0002X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 282NC0060X | Hospitals | General Acute Care Hospital |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- 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
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
- UHC Bronze Essential ($0 Virtual Urgent Care) - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Standard+ (Dental + Vision) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx) - HMO
- UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision) - HMO
- UHC Gold Standard - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision) - HMO
- UHC Silver Standard - HMO
- UHC Silver Value ($0 Virtual Urgent Care) - HMO
- UHC Silver Value+ ($0 Virtual Urgent Care, Dental + Vision) - 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 |
|---|---|---|---|
| 130734007 | MEDICAID (05) | TX | |
| 3 | OTHER (01) | TX | LIMITED SERVICES RURAL HOSPITAL LICENSE |
Inpatient Rehabilitation Information
The Centers for Medicare and Medicaid Services Inpatient Rehabilitation Facility (IRF) data provides information on the quality of care that rehabilitation facilities are providing to their patients. This information can help consumers make informed decisions about health care.
- MEMORIAL MEDICAL CENTER SAN AUGUSTINE has an ownership type of Non-profit
- The facility received it's medicare certification date on 01-01-1995
| Medical Condition | Times Conditions Treated |
|---|---|
| All other conditions | 36 |
| Brain disease or condition (non-traumatic) | Less than 11 - The number of cases/patient stays is too small to report. |
| Brain injury (traumatic) | Less than 11 - The number of cases/patient stays is too small to report. |
| Hip or femur fracture | 32 |
| Hip or knee replacement, amputation or other bone or joint condition | 15 |
| Nervous system disorder (excluding stroke) | Less than 11 - The number of cases/patient stays is too small to report. |
| Spinal cord disease or condition (non-traumatic) | 13 |
| Spinal cord injury (traumatic) | Not Available - Data not available for this reporting period. |
| Stroke | 41 |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D2102549
- Facility Type
- Physician Office
- Certificate Effective Date
- September 25, 2025
- Certificate Expiration Date
- September 24, 2027
- Laboratory Director
- JOHN H. OGLESBEE III
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Memorial Medical Center San Augustine in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1578547345, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
SAN AUGUSTINE, TX 75972
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578547345, enumerated as an "organization" on December 05, 2005.
The provider is located at 511 E HOSPITAL ST SAN AUGUSTINE, TX 75972 and the phone number is (936) 275-3446.
General Acute Care Hospital with taxonomy code 282NR1301X and a focus in Rural.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas,. Please consult your insurance carrier or call the provider to verify.
