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MEMORIAL MEDICAL CLINIC
NPI 1578960647
General Acute Care Hospital - Critical Access in Port Lavaca, TX

Active since December 04, 2014
815 N VIRGINIA ST, PORT LAVACA, TX 77979(361) 552-0224(361) 552-0220 Get Directions Write a Review

NPPES record last updated: December 4, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Memorial Medical Clinic NPPES

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

MEMORIAL MEDICAL CLINIC (NPI 1578960647) is a healthcare organization registered as a critical access in Port Lavaca, Texas and active in the NPI registry since December 2014. The organization lists Diane Chris Moore, Cfo, as its authorized official.

NPPES Registry Identity

NPI1578960647
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameMEMORIAL MEDICAL CLINIC
Location Address815 N VIRGINIA STPort Lavaca, TX 77979-3025
Mailing Address815 N Virginia StPort Lavaca, TX 77979-3025 · (361) 552-0224 · Fax (361) 552-0220
Phone(361) 552-0224
Fax(361) 552-0220
Organization SubpartNo
Authorized OfficialDiane Chris MooreCfo · (361) 552-0224
Enumeration DateDecember 4, 2014
✔ NPI 1578960647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care Hospital · Critical AccessHospitals
Taxonomy Code282NC0060X
License✔ Licensed in TX · 000487
815 N VIRGINIA ST, Port Lavaca, TX 77979
Open in Google Maps ↗

Other Identifiers 1

Medicaid137909111TX

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
MEMORIAL MEDICAL CENTER
Surgery
815 N VIRGINIA ST
PORT LAVACA, TX 77979
Calhoun County (361) 552-6713
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
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 Clinic's NPI number?

The NPI number for Memorial Medical Clinic is 1578960647. It was assigned to this organization in the NPPES registry on December 4, 2014.

Where is Memorial Medical Clinic located?

Memorial Medical Clinic is located at 815 N Virginia St, Port Lavaca, TX 77979. The listed phone number is (361) 552-0224.

What is Memorial Medical Clinic's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

When was this NPI record last updated?

The NPPES record for Memorial Medical Clinic was last updated on December 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.