# MEMORIAL MEDICAL CENTER SAN AUGUSTINE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CHI St. Luke's Health Memorial San Augustine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578547345
- **Authorized official:** MEGAN GLASS (REIMBURSEMENT ANALYST)
- **Authorized official phone:** (936) 639-7661

## Contact information

- **Practice address:** 511 E HOSPITAL ST, SAN AUGUSTINE, TX 75972-2121
- **Practice address phone:** (936) 275-3446
- **Practice address fax:** (936) 275-9921
- **Mailing address:** P O BOX 1447, LUFKIN, TX 75902-1447
- **Mailing address phone:** (936) 275-3446
- **Mailing address fax:** (936) 275-9921

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QE0002X | Emergency Care Clinic/Center | — | NULL | — |
| 282NC0060X | Critical Access Hospital | — | NULL | — |
| 282NR1301X | Rural Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 12/05/2005
- **Last updated:** 05/12/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 130734007 | — | TX |
| 01 | — | 3 | LIMITED SERVICES RURAL HOSPITAL LICENSE | TX |