Organization
MEMORIAL MEDICAL CENTER-SAN AUGUSTINE
Active
Parent organization
MEMORIAL HEALTH SYSTEM OF EAST TEXAS
Other names
San Augustine Rural Health Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL HEALTH SYSTEM OF EAST TEXAS
Authorized official
LILLIE DARLENE WILLIAMS (ADMINISTRATOR/CNO)
(936) 275-3446
Entity
Organization
Contact information
Practice address
200 E LIVINGSTON ST, SAN AUGUSTINE, TX 75972-2028
(936) 275-9910
(936) 275-2333
Mailing address
200 E LIVINGSTON ST, SAN AUGUSTINE, TX 75972-2028
(936) 275-9910
(936) 275-2333
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
000072
TX
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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