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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

1215984687

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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 Sep 11, 2025

Taxonomy & classification

174400000X Specialist Other Service Providers · License L6696 (TX) Primary
367500000X Certified Registered Nurse Anesthetist Physician Assistants & Advanced Practice Nursing Providers · License 237108 (TX) Secondary
367500000X Certified Registered Nurse Anesthetist Physician Assistants & Advanced Practice Nursing Providers · License 452164 (TX) Secondary
367500000X Certified Registered Nurse Anesthetist Physician Assistants & Advanced Practice Nursing Providers · License 656746 (TX) Secondary
367500000X Certified Registered Nurse Anesthetist Physician Assistants & Advanced Practice Nursing Providers · License 422854 (TX) Secondary
367500000X Certified Registered Nurse Anesthetist Physician Assistants & Advanced Practice Nursing Providers · License 033599 (TX) Secondary
367500000X Certified Registered Nurse Anesthetist Physician Assistants & Advanced Practice Nursing Providers · License 041553 (TX) Secondary
367500000X Certified Registered Nurse Anesthetist Physician Assistants & Advanced Practice Nursing Providers · License 048803 (TX) Secondary

Authorized official

Name Fonda Sullivan
Title Insurance Supervisor
Phone (936) 631-3474

Other identifiers

Identifier Type State Issuer
00479N Other TX BLUE CROSS GRP
080663002 Medicaid TX -

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.

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Frequently asked questions

Who is the authorized official for Memorial Hospital Polk County?
NPPES lists Fonda Sullivan (Insurance Supervisor) as the authorized official for this organization.
What is the NPI number for Memorial Hospital Polk County?
The NPI for Memorial Hospital Polk County is 1215984687, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.