Organization Name: | THE MEMORIAL HOSPITAL |
NPI Number: | 1396139507 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SANDRA M CHAMBERLAIN (REVENUE CYCLE MANAGER) |
Mailing Address: | 785 Russell St Craig |
State: | CO US |
Postal Code: | 816252019 |
Phone Number: | 9708262400 |
Fax Number: | 9708268009 |
NPI Enumeration Date: | 03/25/2015 |
NPI Last Update Date: | 03/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1300X |
License Number: | 010807 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Multi-Specialty |
Taxonomy Definition: |