MEMORIAL HEALTH SYSTEM (NPI# 1568668754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568668754 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HEALTH SYSTEM |
| Other Organization Name | MEMORIAL HOSPITAL PHYS GROUP |
| Practice Address |
1400 E Boulder St Colorado Springs CO 80909-5533 |
| Mailing Address |
Po Box 460 Colorado Springs CO 80901-0460 |
| Practice Telephone | 7193655000 |
| Mailing Telephone | 7193655242 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | MR. MIKE SCIALDONE (CEO) |
| Authorized Official Telephone | 7193652068 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 0244 | CO | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 0244 | CO | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 0244 | CO | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 0244 | CO | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 0244 | CO | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 0244 | CO | Allopathic & Osteopathic Physicians |
| Y | 282N00000X | General Acute Care Hospital | ========= | CO | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 04762084 | 05 | |
| CO | BLUE CROSS | C5004 | 01 |
| Other Name | Type Code |
|---|---|
| Memorial Hospital Phys Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164740700 | Memorial Health System | Specialist | 2121 E La Salle St, Colorado Springs, CO 80909-2270 | 2010-05-06 |
| 1316265697 | Memorial Health System | Specialist | 8890 N Union Blvd, Suite 160, Colorado Springs, CO 80920-7799 | 2010-05-11 |
| 1952629347 | Memorial Health System | Specialist | 175 S Union Blvd, # 300, Colorado Springs, CO 80910-3113 | 2010-05-10 |
| 1316265705 | Memorial Health System | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 175 S Union Blvd, #115, Colorado Springs, CO 80910-3113 | 2010-05-10 |
| 1043538432 | Memorial Health System | Obstetrics & Gynecology | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2010-05-10 |
| 1003134644 | Memorial Health System | Specialist | 4110 Briargate Pkwy, Suite 465, Colorado Springs, CO 80920-7835 | 2010-05-06 |
| 1427376060 | Memorial Health System | Specialist | 1725 E Boulder St, Suite 104, Colorado Springs, CO 80909-5768 | 2010-05-06 |
| 1366760902 | Memorial Health System | Specialist | 525 N Foote Ave, Suite 202, Colorado Springs, CO 80909-4554 | 2010-05-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEMORIAL HEALTH SYSTEM | 701 North 1st St, Springfield, IL 62781-0001 |
| Virginia Business Entities | MEMORIAL HEALTH SYSTEM FOUNDATION | 320 Hospital Dr P O Box 4788, Martinsville, Virginia 24115-4788 |
| System for Award Management (SAM) Entities | MEMORIAL HEALTH SYSTEM OF EAST TEXAS | 1717 Highway 59 Loop N, Livingston, TX 77351-5710 |
| Colorado Business Entities | Memorial Health System, Inc. | 1400 East Boulder Street, Colorado Springs, CO 80909 |
| Street Address |
1400 E BOULDER ST |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80909-5533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558363705 | Pikes Peak Cardiology A Professional LLP | Specialist | 1400 E Boulder St, Suite 700, Colorado Springs, CO 80909-5533 | 2005-06-01 |
| 1154921906 | Pikes Peak Nephrology Associates PC | Internal Medicine | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-10-30 |
| 1376143297 | Fabienne Sophie Haas | Student in an Organized Health Care Education/Training Program | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-10-29 |
| 1255930004 | Poudre Valley Medical Group, LLC | Social Worker | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-10-22 |
| 1497353247 | Stander Neurology Inc. | General Acute Care Hospital | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-10-14 |
| 1497378343 | Ashley Marie Griffin | Nurse Practitioner | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-05-27 |
| 1831711944 | Poudre Valley Medical Group, LLC | Obstetrics & Gynecology | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-05-12 |
| 1033731120 | Poudre Valley Medical Group, LLC | General Practice | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-05-12 |
| 1548882756 | Jolene Kendall | Pharmacist | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-05-11 |
| 1932720471 | Margaret Porter | Occupational Therapist | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376173765 | Ascent Health LLC | Community/Behavioral Health | 2608 Palmer Park Blvd., Colorado Springs, CO- COLORADO 80909 | 2020-01-24 |
| 1639714041 | Peak Vista Community Health Centers | Clinic/Center | 4041 E San Miguel St, Colorado Springs, CO 80909 | 2019-11-08 |
| 1437706231 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 445 N Circle Drive, Colorado Springs, CO 80909 | 2019-08-26 |
| 1760952964 | James Garofalo | Counselor | 2210 E La Salle St Ste 221, Colorado Spgs, CO 80909 | 2018-11-29 |
| 1144719055 | Autumn Leaves Counseling, LLC | Counselor | 2130 Academy Circle, Suite B, Co Springs, CO 80909 | 2018-05-07 |
| 1407353642 | Ambulnz Co, LLC | Ambulance | 2420 E Pikes Peak Ave Ste 1001, Colorado Springs, CO 80909 | 2018-04-12 |
| 1083117998 | Peak Wellness Counseling Service, LLC | Counselor | 2210 E. La Salle Street, Suite 208, Colorado Springs, CO 80909 | 2018-03-16 |
| 1043740822 | Ande Carol West | Dental Hygienist | 701 Citadel Drive East, Colorado Springs, CO 80909 | 2017-06-14 |
| 1043748791 | Colorado Springs Pharmacy LLC | Pharmacy | 2224 E. Pikes Peak Ave, Colorado Springs, CO 80909 | 2017-05-25 |
| 1215484365 | Brittney Nicole Roberts | Physical Therapist | 2201 Lelaray St., Colorado Springs, CO 80909 | 2016-09-07 |
| Find all providers in zip 80909 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801436415 | Catholic Health Initiatives Colorado | General Acute Care Hospital | 3030 N Circle Dr Ste 217, Colorado Springs, CO 80909-1180 | 2020-01-11 |
| 1992345508 | Catholic Health Initiatives Colorado | General Acute Care Hospital | 3207 N Academy Blvd Ste 100, Colorado Springs, CO 80917-5117 | 2020-01-11 |
| 1619351160 | Uchealth Grandview Hospital | General Acute Care Hospital | 5623 Pulpit Peak Vw, Colorado Springs, CO 80918-3954 | 2015-07-15 |
| 1528447992 | Memorial Hospital | General Acute Care Hospital | 1400 E. Boulder St. #3138, Colorado Springs, CO 80045 | 2015-05-19 |
| 1497353247 | Stander Neurology Inc. | General Acute Care Hospital | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-10-14 |
| 1083251557 | Uch-mhs | General Acute Care Hospital | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2019-12-04 |
| 1750940987 | Uch-mhs | General Acute Care Hospital | 4050 Briargate Pkwy, Colorado Springs, CO 80920-7815 | 2019-06-11 |
| 1811554397 | Doctors Hospital of Sarasota | General Acute Care Hospital | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2019-05-21 |
| 1750896320 | Catholic Health Iniatives Colorado | General Acute Care Hospital | 2222 N Nevada Ave, Colorado Springs, CO 80907-6819 | 2017-12-05 |
| 1427406990 | Uch-mhs | General Acute Care Hospital | 175 S Union Blvd Ste 305, Colorado Springs, CO 80910 | 2016-05-25 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80909 |
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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.