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Organization
MEMORIAL HOSPITAL OF POLK COUNTY
Active
Organization
MEMORIAL HOSPITAL OF POLK COUNTY
Active
Other names
CHI St. Luke's Heath Memorial Livingston, Memorial Health Center Livingston
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN GLASS (REIMBURSEMENT ANALYST)
(936) 639-7661
Entity
Organization
Contact information
Practice address
1717 HIGHWAY 59 BYPASS, LIVINGSTON, TX 77351
(936) 327-4381
(936) 327-8702
Mailing address
PO BOX 1257, MEMOIRAL MEDICAL CENTER LIVINGSTON, LIVINGSTON, TX 77351-0022
(936) 327-4381
(936) 327-8702
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
000466
TX
282N00000X
General Acute Care Hospital
—
NULL
282NR1301X
Rural Acute Care Hospital
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112697102
—
TX
Enumeration date
12/21/2005
Last updated
04/01/2024
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