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Contact Information

MEMORIAL HOSPITAL
1204 N MOUND ST
NACOGDOCHES, TX75961-4027
 Phone: 936-569-4657
 Fax: 936-569-4689
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MEMORIAL HOSPITAL

NPI # 1235158205
LBN Legal business name MEMORIAL HOSPITAL
Authorized official DAVID SCHAEFER - (PHARMACY DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/19/2006
Last updated 01/14/2015 - About 11 years ago
Identifiers
TX License # 3104
TX Medicaid 250249
Other 2097683 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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