Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Memorial Medical Center of East Texas

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

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

National Provider Identifier

1538114442

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Registry record

Entity type Organization (Type 2)

Legal business name Memorial Medical Center of East Texas

Other name <Unavail>

Practice address 1201 W Frank Ave, Lufkin, TX, 75904

Phone (936) 631-3474

Fax (936) 631-3475

Enumeration date May 23, 2006

Last updated in NPPES Aug 22, 2020

Taxonomy & classification

174400000X Specialist Other Service Providers · License F8398 (TX) Primary

174400000X Specialist Other Service Providers · License G4097 (TX) Secondary

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

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

174400000X Specialist Other Service Providers · License H4425 (TX) Secondary

174400000X Specialist Other Service Providers · License J0855 (TX) Secondary

174400000X Specialist Other Service Providers · License E8818 (TX) Secondary

174400000X Specialist Other Service Providers · License F8981 (TX) Secondary

174400000X Specialist Other Service Providers · License E1447 (TX) Secondary

174400000X Specialist Other Service Providers · License H0057 (TX) Secondary

Authorized official

Name Fonda Sullivan

Title Insurance Supervisor

Phone (936) 631-3474

Other identifiers

Identifier	Type	State	Issuer
00N10T	Other	TX	BLUE CROSS

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

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Memorial Medical Center of East Texas?

Memorial Medical Center of East Texas is registered in NPPES as a Specialist (its primary provider taxonomy).

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