MEMORIAL MEDICAL CLINIC – Rural Health Clinic/Center, NPI 1497153589

MEMORIAL MEDICAL CLINIC is a healthcare provider. based in Port lavaca, Texas. specializing in Rural Health Clinic/Center. The NPI Number for MEMORIAL MEDICAL CLINIC is 1497153589

Main info

Organization
Name
MEMORIAL MEDICAL CLINIC
NPI
1497153589
Phone
(361) 552-0325
Address
1016 N VIRGINIA ST
Authorized Official
ERIN CLEVENGER CEO
Enumeration Date
5 December 2014
Last Update Date
30 October 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness80
Years active:11State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for MEMORIAL MEDICAL CLINIC

  • 1016 N VIRGINIA ST

    PORT LAVACA, TX 779793000

    Phone: (361) 552-0325

    Fax: (361) 500-6904

    Type: Location

  • 1016 N. VIRGINIA ST.

    PORT LAVACA, TX 779790000

    Phone: (361) 552-0325

    Fax: (361) 552-8759

    Type: Location

  • 815 N VIRGINIA ST

    PORT LAVACA, TX 779793025

    Phone: (361) 552-6713

    Fax: (361) 552-0220

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-10-22

PECOS data refreshed: 2026-05-27

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77979)

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Reviews

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Frequently asked questions

Is there an official ID for MEMORIAL MEDICAL CLINIC in U.S. healthcare records?
The official identifier for MEMORIAL MEDICAL CLINIC is NPI 1497153589.
Is there an active status for MEMORIAL MEDICAL CLINIC?
For scheduling context, MEMORIAL MEDICAL CLINIC is shown as active in the registry.
What kind of doctor is MEMORIAL MEDICAL CLINIC?
MEMORIAL MEDICAL CLINIC is associated with Rural Health Clinic/Center in the directory — Clinical services aligned with this taxonomy classification.
Where in Texas is MEMORIAL MEDICAL CLINIC registered?
Use Port Lavaca, Texas as the headline location for MEMORIAL MEDICAL CLINIC here.
Does MEMORIAL MEDICAL CLINIC accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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