NPIMap

Organization Active NPI

Memorial Health System of East Texas

Doing business as CHI St Luke's Health Memorial Lufkin

  • Rehabilitation Hospital Unit
  • Lufkin, TX
National Provider Identifier
1457454431
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
MEMORIAL HEALTH SYSTEM OF EAST TEXAS
Doing business as
CHI St Luke's Health Memorial Lufkin
Practice address
1201 W Frank
Lufkin, TX 75904
Phone
(936) 634-8111
Fax
(936) 639-7827
NPI assigned
Sep 6, 2006
Last updated
Sep 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Authorized official

Name
Mrs. Shelli Brooks
Title
Cfo
Phone
(936) 634-8111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

1201 W Frank
Lufkin, TX 75904

Mailing address

PO Box 1447
Memorial Medical Center Rehab
Lufkin, TX 75902-3357
Phone (936) 634-8111

Other identifiers 1

IdentifierTypeStateIssuer
139172414MedicaidTX

Other names 1

  • CHI St Luke's Health Memorial Lufkin Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081124000334 TX Part A Provider - Hospital 7012907819 Practice locations: Lufkin, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457454431. Details of each certification follow.

Hospital certification: CCN 45T211

Legal name
MEMORIAL HEALTH SYSTEM OF EAST TEXAS
Doing business as
CHI ST LUKE'S HEALTH MEMORIAL LUFKIN
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
Rehabilitation unit

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: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Memorial Med Center of East TeCCN 45T211 · All quality measures
Ownership
Non-profit
Certified
Jan 1, 1995

National Provider Directory

National Provider Directory
Tax ID family
Parul Patel MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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 DirectorAdvisory Board Member Jul 1, 2025
St. Lukes Health System Corporation Organization, Houston, TX Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 12, 2019 100%
Commonspirit Health Organization, Chicago, IL Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jun 1, 2014 100%
Robert Upchurch Individual Corporate DirectorAdvisory Board Member Jul 1, 2025
Matthew Brown Individual Corporate OfficerBoard Member, President Jul 1, 2025
Corporate DirectorBoard Member, President Jul 1, 2025
Frank Ashley Individual Corporate DirectorAdvisory Board Member Jul 1, 2025
Terika Richardson Mbanu Individual Corporate DirectorBoard Member Jul 1, 2025
Donald D Hearne Individual Corporate OfficerSecretary Jul 1, 2025
Brooks Bass Individual Corporate DirectorAdvisory Board Member Jul 1, 2025
Brad Beers Individual Corporate DirectorAdvisory Board Member Jul 1, 2025
Thomas Kopfensteiner Individual Corporate DirectorBoard Member Jul 1, 2025
Shelli D Brooks Individual Corporate OfficerMarket VP Operational Finance Jul 12, 2019
Operational/Managerial ControlMarket VP Operational Finance Jul 12, 2019
Jane Ainsworth Individual Corporate Director Jul 1, 2017
Monte J Bostwick Individual Corporate OfficerChief Executive Officer Aug 8, 2016
W-2 Managing EmployeeCeo Aug 8, 2016
Indira S Anupindi Individual Corporate DirectorAdvisory Board Member Jul 1, 2025
Demetress L Harrell Individual Corporate Director Jul 1, 2015
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%
Operational/Managerial Control 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 1

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.

Affiliated clinicians 11

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

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1457454431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1447",
            "address_2": "MEMORIAL MEDICAL CENTER REHAB",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759023357",
            "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",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "75904",
            "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": "2006-09-06",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "SHELLI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "936-634-8111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139172414",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHI St Luke's Health Memorial Lufkin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.