CHI ST LUKE'S HEALTH MEMORIAL IDTF MOBILE UNIT – NPI #1083162473
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

CHI ST LUKE'S HEALTH MEMORIAL IDTF MOBILE UNIT is an AHC clinic located in LUFKIN, TX. NPPES has assigned the NPI number 1083162473 to CHI ST LUKE'S HEALTH MEMORIAL IDTF MOBILE UNIT on September 14, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CHI ST LUKE'S HEALTH MEMORIAL IDTF MOBILE UNIT” is a dba name, the actual legal business name for this organization is MEMORIAL HEALTH SYSTEM OF EAST TEXAS. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty

The NPI profile was previously updated about 4 years ago on Sep 15, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHI ST LUKE'S HEALTH MEMORIAL IDTF MOBILE UNIT below.

NPI Profile for
MEMORIAL HEALTH SYSTEM OF EAST TEXAS

NPI Number
1083162473
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MEMORIAL HEALTH SYSTEM OF EAST TEXAS
Doing Business As (dba): CHI ST LUKE'S HEALTH MEMORIAL IDTF MOBILE UNIT
Primary location
1201 W FRANK AVE
LUFKIN, TX 75904
Phone: (936) 634-8111 Fax:
Mailing address
PO BOX 1447
LUFKIN, TX 75902-1447
Phone: (936) 634-8111 Fax:
Organization Subpart
Yes - CHI ST LUKE'S HEALTH MEMORIAL IDTF MOBILE UNIT is subpart of another organization.
Authorized Official
SHELLI BROOKS
CFO
Phone: (936) 631-6702
Updated
Certification Date
Sep 15, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM2500X
- Clinic/Center / Medical Specialty (Primary)
282N00000X
- General Acute Care Hospital
TX 00129
261QR0208X
- Clinic/Center / Radiology, Mobile

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.