Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Memorial Medical Center

Organization Family Medicine Physician · NPI 1053964742

Memorial Medical Center provides Family Medicine Physician services in Port Lavaca, Texas. Medicare rates this hospital 4 out of 5. Registered with an NPI since 2019.

CMS rating
4 of 5
In the registry since
2019
Specialties on file
5

CMS quality rating

4 out of 5 — official hospital rating from CMS Care Compare (CCN 451356)

Practice location Address checks out

815 N Virginia St Fl 2
Port Lavaca, TX 77979-3025
Phone: (361) 552-0379
Fax: (361) 500-6904
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X
Family Medicine Physician Taxonomy 207Q00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
General Practice Physician Taxonomy 208D00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1053964742
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMemorial Medical Center
Authorized official Erin Clevenger — Ceo · (361) 552-6713
Other names Memorial Medical Clinic Hospital Campus; Memorial Medical Clinic Hospital Campus
NPI enumeratedJuly 22, 2019
Last updated in NPPESSeptember 19, 2025
Certification dateSeptember 19, 2025
Mailing address815 N Virginia St, Port Lavaca, TX 77979-3025

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility. 24 of 104 are shown here.

Other providers in Port Lavaca