Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MEMORIAL MEDICAL CENTER
Active
Organization
MEMORIAL MEDICAL CENTER
Active
Other names
The Broadmoor at Creekside Park
Organization subpart
No
Provider details
NPI number
Authorized official
JASON ANGLIN (CEO)
(361) 552-6713
Entity
Organization
Contact information
Practice address
5665 CREEKSIDE FOREST DR, THE WOODLANDS, TX 77389-4969
(281) 255-8180
Mailing address
815 N VIRGINIA ST, PORT LAVACA, TX 77979-3025
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
67-6357
MEDICARE CCN
TX
Enumeration date
01/02/2015
Last updated
08/26/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers