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

Memorial Medical Center

Organization Surgery Physician · NPI 1104203181

Memorial Medical Center is a Surgery Physician in Port Lavaca, Texas. Medicare rates this hospital 4 out of 5. Registered with an NPI since 2015.

CMS rating
4 of 5
In the registry since
2015

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
Port Lavaca, TX 77979-3025
Phone: (361) 552-6713
Fax: (361) 552-0220
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1104203181
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Erin Clevenger — Ceo · (361) 552-0454
NPI enumeratedApril 29, 2015
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026
Mailing address815 N Virginia St, Port Lavaca, TX 77979-3025