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Memorial Medical Center

Critical Access Hospital in Port Lavaca, TX · enumerated 2006 · authorized official Erin Clevenger, Ceo.

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

National Provider Identifier

1689630865

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Registry record

Entity type Organization (Type 2)
Legal business name Memorial Medical Center
Practice address 815 N Virginia St, Port Lavaca, TX, 77979
Fax (361) 552-0338
Enumeration date Apr 25, 2006
Last updated in NPPES Mar 2, 2026

Taxonomy & classification

282NC0060X Critical Access Hospital Hospitals · License 000487 (TX) Primary

Authorized official

Name Erin Clevenger
Title Ceo

Other identifiers

Identifier Type State Issuer
137909104 Medicaid TX -
137909107 Medicaid TX -
137909111 Medicaid TX -
137909101 Medicaid TX -
022476801 Medicaid TX -
142448301 Medicaid TX -
HH0489 Other TX BLUE CROSS
137909103 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

What type of organization is Memorial Medical Center?
Memorial Medical Center is registered in NPPES as a Critical Access Hospital (its primary provider taxonomy).
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.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-03-02.