NPIMap

Organization Active NPI

Memorial Health System of East Texas

Doing business as CHI St. Lukes Health Memorial Lufkin

  • Rural Acute Care Hospital
  • Lufkin, TX
National Provider Identifier
1396746129
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
Legal business name
MEMORIAL HEALTH SYSTEM OF EAST TEXAS
Doing business as
CHI St. Lukes Health Memorial Lufkin
Memorial Medical Center of East Texas
Practice address
1201 W Frank Ave
Lufkin, TX 75904-3357
Phone
(936) 634-8111
Fax
(936) 639-7827
NPI assigned
Aug 2, 2005
Last updated
Apr 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Megan Glass
Title
Reimbursement Analyst
Phone
(936) 639-7661

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 000129 TX
Rehabilitation Hospital Unit 273Y00000X
General Acute Care Hospital 282N00000X
Rural Acute Care Hospital 282NR1301X Primary

Addresses

Primary practice location

1201 W Frank Ave
Lufkin, TX 75904-3357

Mailing address

PO Box 1447
Lufkin, TX 75902-1447
Phone (936) 634-8111

Other identifiers 2

IdentifierTypeStateIssuer
HH0426OtherTXBCBS
139172412MedicaidTX

Other names 2

  • CHI St. Lukes Health Memorial Lufkin Doing business as
  • Memorial Medical Center of East Texas Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.stlukeshealth.org/ Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071213000764 TX Part A Provider - Hospital 7012907819 Practice locations: Lufkin, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396746129. Details of each certification follow.

Hospital certification: CCN 450211

Legal name
MEMORIAL HEALTH SYSTEM OF EAST TEXAS
Doing business as
CHI ST. LUKES MEMORIAL LUFKIN
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Dec 4, 2025
Beds
279 (219 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Dec 12, 1944 in TX
Enrollment address
1201 W Frank Ave
Lufkin, TX 75904-3357
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
CHI St Lukes Health Memorial LufkinCCN 450211 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Gary Whitlock Individual Corporate Director Jun 30, 2021
St. Lukes Health System Corporation Organization, Houston, TX Corporation 5% Or Greater Indirect Ownership Interest Jun 12, 2019
Commonspirit Health Organization, Chicago, IL Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2019 100%
Robert Upchurch Individual Corporate Director Jun 30, 2021
Matthew Brown Individual Corporate OfficerPresident Jul 1, 2025
Corporate DirectorBoard Member, President Jul 1, 2025
Frank Ashley Individual Corporate Director Jun 30, 2021
Terika Richardson Mbanu Individual Corporate DirectorBoard Member Jul 1, 2025
Donald D Hearne Individual Corporate OfficerSecretary Jul 1, 2025
Brooks Bass Individual Corporate Director Jun 30, 2021
Brad Beers Individual Corporate Director Jun 30, 2021
Thomas Kopfensteiner Individual Corporate DirectorBoard Member Jul 1, 2025
Shelli D Brooks Individual Corporate Officer Jul 12, 2019
Jane Ainsworth Individual Corporate DirectorBoard of Directors Jun 30, 2021
Monte J Bostwick Individual Corporate OfficerChief Executive Officer Aug 8, 2016
W-2 Managing EmployeeCeo Aug 8, 2016
Indira S Anupindi Individual Corporate Director Jun 30, 2021
Demetress L Harrell Individual Corporate Director Jun 30, 2021
St Lukes Health Clinical Operations Organization, Houston, TX Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 30, 2021 100%

Facilities with the same owner 18

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 18

Practitioners & affiliated clinicians

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 41

Affiliated clinicians 301

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 301

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1396746129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1447",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759021447",
            "telephone_number": "936-634-8111",
            "fax_number": "936-639-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W FRANK AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043357",
            "telephone_number": "936-634-8111",
            "fax_number": "936-639-7827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HEALTH SYSTEM OF EAST TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "REIMBURSEMENT ANALYST",
        "authorized_official_telephone_number": "936-639-7661"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "000129",
            "primary": false
        },
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "HH0426",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139172412",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.stlukeshealth.org/",
            "affiliation": "N",
            "endpointDescription": "CHI St Luke's Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1201 W Frank",
            "city": "Lufkin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "75904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "CHI St. Lukes Health Memorial Lufkin",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Memorial Medical Center of East Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.