| Memorial Medical Clinic Hospital Campus | |
|
815 N Virginia St Fl 2 Port Lavaca TX 77979-3025 | |
| (361) 552-0379 | |
| (361) 500-6904 |
| Full Name | Memorial Medical Clinic Hospital Campus |
|---|---|
| Speciality | Clinic/Center |
| Location | 815 N Virginia St Fl 2, Port Lavaca, Texas |
| Authorized Official Name and Position | Erin Clevenger (CEO) |
| Authorized Official Contact | 3615526713 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Medical Clinic Hospital Campus 815 N Virginia St Port Lavaca TX 77979-3025 Ph: (361) 552-0325 | Memorial Medical Clinic Hospital Campus 815 N Virginia St Fl 2 Port Lavaca TX 77979-3025 Ph: (361) 552-0379 |
| NPI Number | 1053964742 |
|---|---|
| Provider Enumeration Date | 07/22/2019 |
| Last Update Date | 10/30/2024 |
| Medicare PECOS PAC ID | 3072403096 |
|---|---|
| Medicare Enrollment ID | O20191206000453 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053964742 | NPI | - | NPPES |
Port Lavaca Clinic Associates Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1200 North Virginia, Port Lavaca, TX 77979 Phone: 361-552-6721 Fax: 361-552-7463 | |
New Vitality Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1207 N Virginia St, Port Lavaca, TX 77979 Phone: 361-746-1588 Fax: 361-400-5310 | |
Memorial Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1016 N Virginia St, Port Lavaca, TX 77979 Phone: 361-552-0325 Fax: 361-500-6904 | |
Memorial Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 N Virginia St, Port Lavaca, TX 77979 Phone: 361-552-0325 Fax: 361-553-7815 |