THE MEMORIAL HOSPITAL (NPI# 1063418424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063418424 |
| Entity Type | Organization |
| Organization Name | THE MEMORIAL HOSPITAL |
| Practice Address |
750 Hospital Loop Craig CO 81625 |
| Mailing Address |
750 Hospital Loop Craig CO 81625-8750 |
| Practice Telephone | 9708249411 |
| Practice Fax Number | 9708263119 |
| Mailing Telephone | 9708249411 |
| Mailing Fax Number | 9708263119 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2018-05-15 |
| Authorized Official Name | REBECCA S WARREN (CHIEF QUALITY OFFICER) |
| Authorized Official Telephone | 9708263106 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities | ||
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
0093 | CO | Ambulatory Health Care Facilities |
| N | 341600000X | Ambulance | Transportation Services | ||
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
0093 | CO | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 05046008 | 05 | |
| CO | 04139309 | 05 | |
| CO | 06060164 | 05 | |
| CO | 04003463 | 05 | |
| CO | 24031020 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386101566 | The Memorial Hospital | Pharmacy | 9900 W M 21 Ste 103, Ovid, MI 48866-9798 | 2019-02-25 |
| 1093198624 | The Memorial Hospital | General Acute Care Hospital | 826 W King St # 1-117, Owosso, MI 48867-2120 | 2015-07-01 |
| 1477857944 | The Memorial Hospital | Clinic/Center | 7200 Woodbury Rd, Laingsburg, MI 48848-8799 | 2010-12-27 |
| 1396139507 | The Memorial Hospital | Clinic/Center | 785 Russell St, Craig, CO 81625-2019 | 2015-03-25 |
| 1992000103 | The Memorial Hospital | Internal Medicine | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2011-01-19 |
| 1366421141 | The Memorial Hospital | Obstetrics & Gynecology | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2006-01-11 |
| 1619968849 | The Memorial Hospital | Orthopaedic Surgery | 3073 White Mountain Hwy, North Conway, NH 03860-5111 | 2005-11-05 |
| 1629060926 | The Memorial Hospital | Family Medicine | 3073 White Mountain Hwy, North Conway, NH 03860-5111 | 2005-08-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | THE MEMORIAL HOSPITAL | 111 Brewster St., Pawtucket, RI 02860 |
| Street Address |
750 HOSPITAL LOOP |
| City | CRAIG |
| State | CO |
| Zip Code | 81625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437757788 | Cardinal Pathology, PC | Pathology | 750 Hospital Loop, Memorial Regional Health, Craig, CO 81625 | 2020-10-09 |
| 1437773694 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 750 Hospital Loop, Craig, CO 81625-8750 | 2020-06-03 |
| 1447885256 | The Memorial Hospital Facilities Corporation | Ambulance | 750 Hospital Loop, Craig, CO 81625-8750 | 2020-03-12 |
| 1225668346 | Jenna Rose Kaspari | Physical Therapist | 750 Hospital Loop, Craig, CO 81625-8750 | 2020-01-16 |
| 1497396782 | Danika Celeste Friedley Jost | Physical Therapist | 750 Hospital Loop, Craig, CO 81625-8750 | 2019-10-08 |
| 1790259414 | Jennifer Irene Nortz | Physician Assistant | 750 Hospital Loop, Craig, CO 81625-8750 | 2019-01-15 |
| 1275019820 | Mountain Valley Anesthesia | Nurse Anesthetist, Certified Registered | 750 Hospital Loop, Craig, CO 81625-8750 | 2018-07-17 |
| 1386144723 | Madysen Lynne Jourgensen | Dietitian, Registered | 750 Hospital Loop, Craig, CO 81625-8750 | 2018-02-12 |
| 1851803746 | Kelsie Bond | Physician Assistant | 750 Hospital Loop, Craig, CO 81625-8750 | 2017-10-31 |
| 1336667682 | The Memorial Hospital Facilities Corporation | Ambulance | 750 Hospital Loop, Craig, CO 81625-8750 | 2017-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619446481 | County of Moffat | Emergency Medical Technician, Paramedic | 221 W. Victory Way, Suite 130, Craig, CO 81625 | 2018-11-21 |
| 1912374703 | Shannon Mayes | Registered Nurse | 745 Russell Street, Craig, CO 81625 | 2015-08-27 |
| 1407267628 | A & S Counseling | Social Worker | 401 Russell Street, Craig, CO 81625 | 2014-05-09 |
| 1356687727 | Joanne Mattio Snow | Social Worker | 11 W. Victory Way, Suite 209, Craig, CO 81625 | 2012-12-12 |
| 1205163409 | Aerocare Holdings, Inc. | Durable Medical Equipment & Medical Supplies | 512 Yampa Ave, Craig, CO 81625 | 2009-11-09 |
| 1124213665 | Steven Paul Walls | Counselor | 11 West Victory Way, Suite# 209, Craig, CO 81625 | 2007-09-07 |
| 1225170970 | Brittany Corrine Doolin | Registered Nurse | 745 Russel St, Craig, CO 81625 | 2007-02-12 |
| 1225170996 | Ann T Irvin | Registered Nurse | 745 Russell St, Nwcvna Craig Moffat County Rio Blanco Co, Craig, CO 81625 | 2007-02-12 |
| 1578644175 | Northwest Colorado Dental Coalition | Clinic/Center | 485 Yampa Avenue, Craig, CO 81625 | 2006-10-18 |
| 1962438218 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 505 W Victory Way, Craig, CO 81625 | 2006-06-25 |
| Find all providers in zip 81625 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235777889 | Aspen Valley Hospital District | General Acute Care Hospital | 234 Cody Lane, Cardiac Rehab Basalt, Basalt, CO 81621 | 2019-12-13 |
| 1114565736 | Aspen Valley Hospital District | General Acute Care Hospital | 239 Snowmass Club Circle, Pt Snowmass Club, Snowmass Village, CO 81615 | 2019-12-13 |
| 1144669102 | Emergency Medical & Surgical Specialists of Colorado LLC | General Acute Care Hospital | 99 Kearney St, Denver, CO 80220-5922 | 2013-06-22 |
| 1790983872 | Greg A Stransky | General Acute Care Hospital | 6365 W 45th Pl, Wheat Ridge, CO 80033-3730 | 2007-07-10 |
| 1366452732 | County of Kiowa Hospital District | General Acute Care Hospital | 1208 Luther Street, Eads, CO 81036 | 2006-08-09 |
| 1063430346 | Rangely Hospital District | General Acute Care Hospital | 225 Eagle Crest Dr., Rangely, CO 81648-2100 | 2006-07-17 |
| 1174557763 | Amy Wehrman | General Acute Care Hospital | 19269 W 53rd Loop, Golden, CO 80403-2161 | 2006-07-10 |
| 1891733879 | East Phillips County Hospital District | General Acute Care Hospital | 1001 E Johnson Street, Holyoke, CO 80734-1854 | 2006-06-03 |
| 1497710958 | St. Vincent General Hospital District | General Acute Care Hospital | 822 W 4th Street, Leadville, CO 80461 | 2006-04-19 |
| 1407811961 | St. Vincent General Hospital District | General Acute Care Hospital | 822 W. 4th Street, Leadville, CO 80461-3897 | 2006-04-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.