MEMORIAL HOSPITAL OF POLK COUNTY
Surgery Yellow Pages
Livingston, Texas
Provider NPI: 1689650616
Organization Information:Organization Name: MEMORIAL HOSPITAL OF POLK COUNTY
Practice Location:
1717 HIGHWAY 59 BYPASS LIVINGSTON, TX 77351 US
Tel: 936-327-4381 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1717 HIGHWAY 59 BYPASS LIVINGSTON, TX 77351 US
Tel: 936-327-4381 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | TX | 000466 |
Y | 282NR1301X | Hospitals General Acute Care Hospital | TX | 000466 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
112697102 | TX | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin