MEMORIAL HEALTH SYSTEM (NPI# 1952629347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952629347 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HEALTH SYSTEM |
| Other Organization Name | MEMORIAL PHYSICIAN NETWORK - SENIOR CLINIC |
| Practice Address |
175 S Union Blvd # 300 Colorado Springs CO 80910-3113 |
| Practice Telephone | 7193659951 |
| Mailing Telephone | 7193659951 |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2010-06-18 |
| Authorized Official Name | MARY JO YANTIS (VICE PRESIDENT) |
| Authorized Official Telephone | 7193659951 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEMORIAL HEALTH SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Memorial Physician Network - Senior Clinic | 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 |
| 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 |
| 1568668754 | Memorial Health System | Family Medicine | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2007-06-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEMORIAL HEALTH SYSTEM | 701 North 1st St, Springfield, IL 62781-0001 |
| 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 |
175 S UNION BLVD # 300 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80910-3113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154324168 | Colorado Professional Medical, Inc | Prosthetic/Orthotic Supplier | 175 S Union Blvd, Ste 370, Colorado Springs, CO 80910-3113 | 2005-05-23 |
| 1538788823 | Katharine Berscheid | Physical Therapist | 175 S Union Blvd, Colorado Springs, CO 80910-3113 | 2020-04-16 |
| 1518586635 | Kathryn Allison Seidman | Speech-Language Pathologist | 175 S Union Blvd, Colorado Springs, CO 80910-3113 | 2020-04-09 |
| 1487283008 | Carolyn Montgomery | Physical Therapist | 175 S Union Blvd, Colorado Springs, CO 80910-3113 | 2020-04-06 |
| 1316506231 | Uch-mhs | Clinic/Center | 175 S Union Blvd, Colorado Springs, CO 80910-3113 | 2019-06-13 |
| 1790344042 | Uch-mhs | Clinic/Center | 175 S Union Blvd, Suite 100, Colorado Springs, CO 80910-3117 | 2019-06-11 |
| 1588175483 | Sarah Farrell | Speech-Language Pathologist | 175 S Union Blvd, Suite 225, Colorado Springs, CO 80910 | 2017-10-18 |
| 1477090538 | Claribel Polanco | Speech-Language Pathologist | 175 S Union Blvd, Suite 255, Colorado Springs, CO 80910-3113 | 2017-01-27 |
| 1487197646 | Kristen Elizabeth Arestad | Occupational Therapist | 175 S Union Blvd, Suite 255, Colorado Springs, CO 80910-3113 | 2016-11-21 |
| 1336590801 | Brittany Pieters | Speech-Language Pathologist | 175 S Union Blvd, Suite 255, Colorado Springs, CO 80910-3113 | 2016-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952955403 | Marian Lin Mondy | Social Worker | 2909 Wellshire Blvd., Colorado Springs, CO 80910 | 2019-08-01 |
| 1538727474 | Lisa Morales | Audiologist | 3225 International Cir Ste 102, Colorado Springs, CO 80910 | 2019-06-05 |
| 1134617038 | Paul Gross | Counselor | 411 Lakewood Circle Dr, C-204-b, Colorado Springs, CO 80910 | 2018-04-25 |
| 1821502923 | Kathleen Lubos Ambros-dahilig | Dental Assistant | 2240 Gilpin Ave, Colorado Springs, CO 80910 | 2017-11-28 |
| 1508384793 | Shawn Maul | Registered Nurse | 115 S Parkside, Colorado Springs, CO 80910 | 2017-09-07 |
| 1376910521 | Kelley Elizabeth Smith Bouchard | Nurse Practitioner | 3225 International Circle Suite 220, Colorado Springs, CO 80910 | 2015-08-24 |
| 1619353430 | Dr. Steven Alan Gould Dds PC | Dentist | 2859 E. Fountain Blvd, Colorado Springs, CO 80910 | 2015-08-04 |
| 1881029155 | Francis Hammet | Chiropractor | 411 Lakewood Circle A1104, Colorado Springs, CO 80910 | 2013-09-05 |
| 1447697586 | Mcb Clinical Research Centers, LLC | Psychologist | 110 S. Parkside Drive, Colorado Springs, CO 80910 | 2013-05-30 |
| 1417206723 | Augustus Albert Edwards | Case Manager/Care Coordinator | 115 Parkside Drive, Colorado Springs, CO 80910 | 2012-08-31 |
| Find all providers in zip 80910 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942171 | Colorado Otolaryngology Associates, LLC | Specialist | 6031 E. Woodmen Rd., Ste. 300, Colorado Springs, CO 80923 | 2020-11-06 |
| 1669079075 | Colorado Otolaryngology Associates, LLC | Specialist | 6071 E Woodmen Rd Ste 325, Colorado Springs, CO 80923-2612 | 2020-10-08 |
| 1205459633 | Associates In Gastroenterology, P.C. | Specialist | 6011 E Woodmen Rd Ste 345, Colorado Springs, CO 80923-2606 | 2020-05-20 |
| 1154973451 | Jimson Franck | Specialist | 4330 Hunting Meadows Cir, Colorado Springs, CO 80916-2460 | 2019-07-16 |
| 1477083954 | Elizabeth Mary Edling | Specialist | 8321 Steadman Dr, Colorado Springs, CO 80920-7058 | 2017-06-15 |
| 1306385026 | Kirsten Arbogast | Specialist | 2017 E Van Buren St, Colorado Springs, CO 80909-7828 | 2017-02-14 |
| 1538602750 | Shelby Thomas | Specialist | 6225 Emma Ln, Colorado Springs, CO 80922-1825 | 2016-11-19 |
| 1174073431 | Danella Ann Lynn | Specialist | 6140 Tutt Blvd Ste 120, Colorado Springs, CO 80923-3574 | 2016-10-11 |
| 1821449851 | Deana Schlepp | Specialist | 6219 Gemfield Dr, Colorado Springs, CO 80918-6107 | 2016-06-30 |
| 1639539612 | Andrew Bonner | Specialist | 102 S Tejon St Ste 1100, Colorado Springs, CO 80903 | 2016-03-03 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80910 |
Please comment or provide details below to improve the information on MEMORIAL HEALTH SYSTEM.
| 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.