Memorial Hospital Phys Group
LBN: Memorial Health System
Memorial Hospital Phys Group is an health care organization with primary practice located at 1400 E Boulder St , Colorado Springs CO 80909-5533. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Hospitalist, Hospitals / General Acute Care Hospital. Hospitals / General Acute Care Hospital is the primary health care specialty.
Memorial Health System can be contacted via phone (719) 365-5000, or through Scialdone, Mike via phone (719) 365-2068.
Contact Information
Primary practice address
1400 E Boulder St
Colorado Springs CO 80909-5533
Phone: (719) 365-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0244 | Colorado |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0244 | Colorado |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 0244 | Colorado |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0244 | Colorado |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 0244 | Colorado |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 0244 | Colorado |
| Hospitals / General Acute Care Hospital | 282N00000X | Colorado |
Profile Details
| NPI number | 1568668754 |
|---|---|
| LBN Legal business name | Memorial Health System |
| DBA Doing business as | Memorial Hospital Phys Group |
| Authorized official | Scialdone, Mike |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 25th, 2007 |
| Last updated | Jul 21st, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568668754 | NPPES |
| Colorado | Other | C5004 | BLUE CROSS |
| Colorado | MEDICAID | 04762084 | BLUE CROSS |
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