# MEMORIAL HEALTH SYSTEM OF EAST TEXAS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Memorial Medical Center of East Texas, CHI St. Lukes Health Memorial Lufkin
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396746129
- **Authorized official:** MEGAN GLASS (REIMBURSEMENT ANALYST)
- **Authorized official phone:** (936) 639-7661

## Contact information

- **Practice address:** 1201 W FRANK AVE, LUFKIN, TX 75904-3357
- **Practice address phone:** (936) 634-8111
- **Practice address fax:** (936) 639-7827
- **Mailing address:** PO BOX 1447, LUFKIN, TX 75902-1447
- **Mailing address phone:** (936) 634-8111
- **Mailing address fax:** (936) 639-7827

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 000129 | TX | — |
| 273Y00000X | Rehabilitation Hospital Unit | — | NULL | — |
| 282N00000X | General Acute Care Hospital | — | NULL | — |
| 282NR1301X | Rural Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 08/02/2005
- **Last updated:** 04/01/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 139172412 | — | TX |
| 01 | — | HH0426 | BCBS | TX |