NPIMap

Memorial Medical Center

A Medicare group practice based in Port Lavaca, TX: 7 NPIs enrolled under one PECOS associate control ID (PAC ID 3072403096), with 18 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3072403096The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice
Enrolled in
TX
Enrollments
8
Group size
16 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 3 places

Enrollment records 8

Enrollment IDStateProvider typeNPI
O20040316000136 TX Part B Supplier - Clinic/Group Practice 1689630865
O20141022000403 TX Part A Provider - Rural Health Clinic 1497153589
O20170626002362 TX Part A Provider - Skilled Nursing Facility 1588075964
O20191119001162 TX Part A Provider - Skilled Nursing Facility 1538719836
O20191206000453 TX Part A Provider - Rural Health Clinic 1053964742
O20200324001191 TX Part A Provider - Skilled Nursing Facility 1275717894
O20120301000191 TX Part A Provider - Critical Access Hospital 1689630865
O20110414000718 TX Part A Provider - Critical Access Hospital 1689630865

NPIs in this group 7

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 18

Clinicians who reassign their Medicare benefits to this group (13) or whom Care Compare lists as members (16).

Sources for this page