Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Memorial Hospital Polk County

Specialist in Livingston, TX · enumerated 2006 · authorized official Fonda Sullivan, Insurance Supervisor.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124075593

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Registry record

Entity type Organization (Type 2)

Legal business name Memorial Hospital Polk County

Other name <Unavail>

Practice address 1717 Highway 59 Loop N, Livingston, TX, 77351

Phone (936) 631-3474

Fax (936) 631-3475

Enumeration date May 30, 2006

Last updated in NPPES Aug 22, 2020

Taxonomy & classification

174400000X Specialist Other Service Providers · License H9325 (TX) Secondary

174400000X Specialist Other Service Providers · License L9581 (TX) Secondary

174400000X Specialist Other Service Providers · License K3772 (TX) Secondary

174400000X Specialist Other Service Providers · License L0081 (TX) Primary

174400000X Specialist Other Service Providers · License K2507 (TX) Secondary

Authorized official

Name Fonda Sullivan

Title Insurance Supervisor

Phone (936) 631-3474

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Where is Memorial Hospital Polk County located?

The practice location on file with NPPES is in Livingston, TX.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.