# MEMORIAL HOSPITAL OF POLK COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CHI St. Luke's Heath Memorial Livingston, Memorial Health Center Livingston
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689650616
- **Authorized official:** MEGAN GLASS (REIMBURSEMENT ANALYST)
- **Authorized official phone:** (936) 639-7661

## Contact information

- **Practice address:** 1717 HIGHWAY 59 BYPASS, LIVINGSTON, TX 77351
- **Practice address phone:** (936) 327-4381
- **Practice address fax:** (936) 327-8702
- **Mailing address:** PO BOX 1257, MEMOIRAL MEDICAL CENTER LIVINGSTON, LIVINGSTON, TX 77351-0022
- **Mailing address phone:** (936) 327-4381
- **Mailing address fax:** (936) 327-8702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 000466 | TX | — |
| 282N00000X | General Acute Care Hospital | — | NULL | — |
| 282NR1301X | Rural Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 12/21/2005
- **Last updated:** 04/01/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 112697102 | — | TX |