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Organization
MEMORIAL HEALTH SYSTEM OF EAST TEXAS
Active
Organization
MEMORIAL HEALTH SYSTEM OF EAST TEXAS
Active
Other names
Memorial Medical Center of East Texas, CHI St. Lukes Health Memorial Lufkin
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN GLASS (REIMBURSEMENT ANALYST)
(936) 639-7661
Entity
Organization
Contact information
Practice address
1201 W FRANK AVE, LUFKIN, TX 75904-3357
(936) 634-8111
(936) 639-7827
Mailing address
PO BOX 1447, LUFKIN, TX 75902-1447
(936) 634-8111
(936) 639-7827
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
000129
TX
273Y00000X
Rehabilitation Hospital Unit
—
NULL
282N00000X
General Acute Care Hospital
—
NULL
282NR1301X
Rural Acute Care Hospital
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139172412
—
TX
01
—
HH0426
BCBS
TX
Enumeration date
08/02/2005
Last updated
04/01/2024
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