Memorial Hospital – Rural Acute Care Hospital, NPI 1932108214

Memorial Hospital is a healthcare provider. based in Gonzales, Texas. specializing in Rural Acute Care Hospital. The organization holds a License No. 000103 (TX). The NPI Number for Memorial Hospital is 1932108214

Main info

Organization
Name
Memorial Hospital
NPI
1932108214
Phone
(830) 672-7581
Address
1300 Captain Albert Martin Trail
Authorized Official
MR. BRANDON ANZALDUA CEO/ADMINISTRATOR
Enumeration Date
19 July 2005
Last Update Date
26 February 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Memorial Hospital

  • 1300 Captain Albert Martin Trail

    Gonzales, TX 786297862

    Phone: (830) 672-7581

    Type: Location

  • Gonzales Healthcare Systems, 1110, North Sarah Dewitt Drive, Gonzales, Gonzales County, Texas, 78629, United States

    GONZALES, TX 786293311

    Phone: (830) 672-7581

    Fax: (830) 672-2401

    Type: Location

  • 207 West &th Street

    Shiner, TX 77984

    Phone: (361) 594-2520

    Fax: (361) 594-2527

    Type: Location

  • PO BOX 587

    GONZALES, TX 786290587

    Phone: (830) 672-7581

    Fax: (830) 672-2401

    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: 2003-12-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20031202000170OHospitalTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 78629)

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Reviews

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Frequently asked questions

Is there an official ID for Memorial Hospital in U.S. healthcare records?
The official identifier for Memorial Hospital is NPI 1932108214.
Active or inactive — what applies to Memorial Hospital?
You should see Memorial Hospital as active in CMS-hosted NPPES data.
What expertise is attributed to Memorial Hospital?
Memorial Hospital's specialty line reads Rural Acute Care Hospital. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Memorial Hospital?
Travel planning: use Gonzales, Texas as the reference point for Memorial Hospital, then confirm.
Does Memorial Hospital accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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