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:

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

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin