THE MEMORIAL HOSPITAL (NPI# 1396139507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396139507 |
| Entity Type | Organization |
| Organization Name | THE MEMORIAL HOSPITAL |
| Other Organization Name | THE MEMORIAL HOSPITAL MEDICAL CLINIC |
| Practice Address |
785 Russell St Craig CO 81625-2019 |
| Practice Telephone | 9708262400 |
| Practice Fax Number | 9708268009 |
| Mailing Telephone | 9708262400 |
| Mailing Fax Number | 9708268009 |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2015-03-25 |
| Authorized Official Name | MRS. SANDRA M CHAMBERLAIN (REVENUE CYCLE MANAGER) |
| Authorized Official Telephone | 9708263121 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
010807 | CO | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| The Memorial Hospital Medical Clinic | Doing Business As Name - Organization |
| 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 |
| 1063418424 | The Memorial Hospital | Skilled Nursing Facility | 750 Hospital Loop, Craig, CO 81625 | 2005-06-21 |
| 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 |
785 RUSSELL ST |
| City | CRAIG |
| State | CO |
| Zip Code | 81625-2019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730171398 | Cinde K Porter | Physician Assistant | 785 Russell St, Craig, CO 81625-2019 | 2005-08-19 |
| 1245843481 | Scl Health Medical Group - Grand Junction, LLC | Clinic/Center | 785 Russell St, Craig, CO 81625-2019 | 2020-08-27 |
| 1922514132 | Centennial Home Care, LLC | Hospice Care, Community Based | 785 Russell St, Craig, CO 81625-2019 | 2017-12-26 |
| 1649673807 | Margaret Schoeberl | Physician Assistant | 785 Russell St, Craig, CO 81625-2019 | 2014-10-02 |
| 1851723332 | Derek Harper | Podiatrist | 785 Russell St, Craig, CO 81625-2019 | 2013-08-06 |
| 1780984021 | Evan C Fleming | Physician Assistant | 785 Russell St, Craig, CO 81625 | 2010-11-02 |
| 1154583094 | Kathleen C. Keating | Obstetrics & Gynecology | 785 Russell St, Craig, CO 81625-2019 | 2008-07-01 |
| 1306038492 | Tracey Wall | Physician Assistant | 785 Russell St, Craig, CO 81625-2019 | 2007-08-14 |
| 1538365986 | Elise D Sullivan | Family Medicine | 785 Russell St, Craig, CO 81625-2019 | 2007-06-22 |
| 1760686539 | Kevin Scott Borchard | Orthopaedic Surgery | 785 Russell St, Craig, CO 81625-2019 | 2007-06-13 |
| 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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841806304 | Yampa Valley Medical Center | Clinic/Center | 595 Russell St, Craig, CO 81625-1920 | 2020-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235127 | Matthews-vu Medical Group, P.C. | Clinic/Center | 4190 E Woodmen Rd Ste 230, Colorado Springs, CO 80920-8075 | 2020-11-06 |
| 1811596497 | Eye Associates of Colorado Springs, PC | Clinic/Center | 7075 Campus Dr Ste 100, Colorado Springs, CO 80920-6524 | 2020-10-23 |
| 1477169670 | Yampa Valley Medical Center | Clinic/Center | 136 Lincoln Ave, Steamboat Springs, CO 80487 | 2020-09-22 |
| 1467067702 | Western Infectious Disease Consultants, P.C. | Clinic/Center | 1551 Professional Ln Unit 280, Longmont, CO 80501-6965 | 2020-09-14 |
| 1932714714 | Silver Linings House Calls LLC | Clinic/Center | 5040 Shelby Dr, Castle Rock, CO 80104-5433 | 2020-09-09 |
| 1538774377 | Kremmling Memorial Hospital District | Clinic/Center | 1000 Granby Park South, Granby, CO 80446-8900 | 2020-09-09 |
| 1396356325 | Yampa Valley Medical Center | Clinic/Center | 940 Central Park Dr Ste 207, Steamboat Springs, CO 80487-8853 | 2020-08-13 |
| 1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
| 1609400407 | Pure Healthcare of Colorado LLC | Clinic/Center | 320 E Fontanero St Ste 103, Colorado Springs, CO 80907-7535 | 2020-03-02 |
| 1073146833 | Boulder Medical Center, P.C. | Clinic/Center | 89 S Briggs St Ste 105, Erie, CO 80516-4063 | 2020-02-19 |
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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.