Organization
MEMORIAL MEDICAL CENTER SAN AUGUSTINE
Active
Other names
CHI St. Luke's Health Memorial San Augustine
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN GLASS (REIMBURSEMENT ANALYST)
(936) 639-7661
Entity
Organization
Contact information
Practice address
511 E HOSPITAL ST, SAN AUGUSTINE, TX 75972-2121
(936) 275-3446
(936) 275-9921
Mailing address
P O BOX 1447, LUFKIN, TX 75902-1447
(936) 275-3446
(936) 275-9921
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
—
—
282NC0060X
Critical Access Hospital
—
—
282NR1301X
Rural Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130734007
—
TX
01
—
3
LIMITED SERVICES RURAL HOSPITAL LICENSE
TX
Enumeration date
12/05/2005
Last updated
05/12/2025
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