MEMORIAL HOSPITAL – NPI #1215968748
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

MEMORIAL HOSPITAL is a provider located in NACOGDOCHES, TX. NPPES has assigned the NPI number 1215968748 to MEMORIAL HOSPITAL on July 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was previously updated about 18 years ago on Aug 11, 2008. 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 MEMORIAL HOSPITAL below.

NPI Profile for
MEMORIAL HOSPITAL

NPI Number
1215968748
Enumeration Date

(about 20 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 HOSPITAL
Primary location
1204 N MOUND ST
NACOGDOCHES, TX 75961-4027
Phone: (936) 564-4611 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JANE BRIDGES
CHIEF FINANCIAL OFFICER
Phone: (936) 568-8525
Updated
Identifiers

Identifiers for MEMORIAL HOSPITAL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDTX131030201
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
207P00000X
- Emergency Medicine (Primary)
TX 000478
367500000X
- Nurse Anesthetist, Certified Registered
TX 000478
363A00000X
- Physician Assistant
TX 000478
176B00000X
- Midwife
TX 000478

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.